DR. Matthew James Mccullough, D.M.D.

NPI #1497894307 in Greenville, Illinois

Provider Information

NPI Number
1497894307
Entity Type
Individual
Name
DR. Matthew James Mccullough, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Feb 6, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1300 E CITY ROUTE 40
ZIP Code
62246-2501
Phone
(618) 664-1483

Specialties & Taxonomy Codes

Specialty
Dentist

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