Dr Pamela R Mccullough Dds Pa

NPI 1245230374 - Dentist - 1223G0001X

NPI Details
NPI 1245230374
Enumeration Date 07/29/2005
Last Updated 08/27/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PAMELA RAE PAMELA
Position PRESIDENT
Phone (316) 283-0870
Fax (316) 282-2500
Practice Location
229 N MAIN ST
NEWTON KS, 67114-3442, US
Phone (316) 283-0870
Fax (316) 282-2500
Business Location
229 N MAIN ST
NEWTON KS, 67114-3442, US
Phone (316) 283-0870
Fax (316) 282-2500
Toxanomy
Taxonomy Code 1223G0001X
License State Kansas
License Number 6191
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According to our database, Dr Pamela R Mccullough Dds Pa NPI is 1245230374, taxonomy code is 1223G0001X and license number is 6191, license state is located at Kansas. Dr Pamela R Mccullough Dds Pa physically located at 229 N Main St, Newton KS, 67114-3442. NPI Number 1033115704 has the healthcare provider type.

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1245230374 NPI number is provided on an as is basis without warranty of any kind. 1245230374 is maintained by the National Plan & Provider Enumeration System. The contents of Dr Pamela R Mccullough Dds Pa are for informational purposes only.