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MCCULLOUGH FAMILY DENTISTRY P.C. NPI 1730356148


NPI Information

NPI: 1730356148
Provider Name: MCCULLOUGH FAMILY DENTISTRY, P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1630 SW WHITE BIRCH CIR
ANKENY, IA
ZIP 50023
Phone: (515) 965-4470
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MCCULLOUGH FAMILY DENTISTRY, P.C. is a dental clinic center in Ankeny, IA. MCCULLOUGH FAMILY DENTISTRY, P.C. NPI is 1730356148. The provider is registered as an organization entity type.

The provider's business location address is:

1630 SW WHITE BIRCH CIR
ANKENY, IA
ZIP 50023-213
Phone: (515) 965-4470

The provider's authorized official is Matthew Mccullough .
The authorized official title is Owner and has the following contact phone number (515) 965-4470.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental7932IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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