Shawn Timothy Mccullough in North Branch - Dentist
Shawn Timothy Mccullough - NPI 1023171196
Shawn Timothy Mccullough is a Dentist in North Branch, Minnesota. Shawn Timothy Mccullough practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shawn Timothy Mccullough is 1023171196. The last update date is 2007-07-08.
Shawn Timothy Mccullough's current location address is Po Box 40, North Branch, Minnesota. You can contact this provider via phone number 6516744811 and fax number 6512770411. The mailing address for Shawn Timothy Mccullough is Po Box 40, North Branch, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Timothy Mccullough |
|---|---|
| Address | Po Box 40, North Branch, Minnesota |
| Phone Number | 6516744811 |
| Fax Number | 6512770411 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023171196 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 40 |
|---|---|
| City | North Branch |
| State | Minnesota (MN) |
| Post Code | 55056 |
| Phone Number | 6516744811 |
| Fax Number | 6512770411 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 11245 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Shawn Timothy Mccullough by the Centers for Medicare & Medicaid Services?
The Shawn Timothy Mccullough has been assigned the NPI (National Provider Identifier) 1023171196 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shawn Timothy Mccullough's facilities are geographically located?
The facilities of Shawn Timothy Mccullough are physically situated at the following location: Po Box 40, North Branch, MN, 55056.
What is Shawn Timothy Mccullough's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shawn Timothy Mccullough is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023171196 to Shawn Timothy Mccullough?
The Centers for Medicare & Medicaid Services originally issued the 1023171196 to Shawn Timothy Mccullough on 2006-12-19.
As of what date were the Shawn Timothy Mccullough's details last updated?
The information pertaining to the Shawn Timothy Mccullough, including its address, specialty, and other details, was most recently updated on 2007-07-08.