Cottrell and Mccullough Dental Pllc

NPI #1891357067 in Queensbury, New York

Provider Information

NPI Number: 1891357067
Entity Type: Organization
Organization Name: Cottrell and Mccullough Dental Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: COTTRELL AND MCCULLOUGH DENTAL PLLC
Primary Specialty: Dentist
Enumeration Date: Jul 8, 2019
Last Updated: Jul 8, 2019

Practice Location

Address: 36 HOMER AVE
City: Queensbury
State: New York
ZIP Code: 12804-2009
Phone: (518) 793-1345

Authorized Official

Name: CARLY MCCULLOUGH, DDS
Title: DENTIST/PRESIDENT
Phone: (518) 793-1345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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