DR. STEPHEN PATRICK MCCULLOCH D.M.D. NPI 1689783516

NPI Information

DR. Stephen Patrick Mcculloch, D.M.D. is a general practice dentist in Montgomery, AL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Stephen Patrick Mcculloch, D.M.D. NPI is 1689783516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3150 ZELDA CT
MONTGOMERY, AL
ZIP 36106-607
Phone: (334) 281-2451

The NPI 1689783516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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