Dr Pamela R Mccullough DDS PA

NPI #1245230374 in Newton, Kansas

Provider Information

NPI Number: 1245230374
Entity Type: Organization
Organization Name: Dr Pamela R Mccullough DDS PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 29, 2005
Last Updated: Aug 27, 2013

Practice Location

Address: 229 N MAIN ST
City: Newton
State: Kansas
ZIP Code: 67114-3442
Phone: (316) 283-0870

Authorized Official

Name: DR. PAMELA RAE MCCULLOUGH, DDS
Title: PRESIDENT
Phone: (316) 283-0870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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