Willie James Mccullum in Tacoma - Dentist
Willie James Mccullum - NPI 1083622971
Willie James Mccullum is a Dentist in Tacoma, Washington. Willie James Mccullum practices all healthcare services and medical treatments related to Dentist. The NPI Number for Willie James Mccullum is 1083622971. The last update date is 2010-03-03.
Willie James Mccullum's current location address is 4002 South 'm' Street, Tacoma, Washington. You can contact this provider via phone number 2534740606 and fax number 2534763901. The mailing address for Willie James Mccullum is 4002 South 'm' Street, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie James Mccullum |
|---|---|
| Address | 4002 South 'm' Street, Tacoma, Washington |
| Phone Number | 2534740606 |
| Fax Number | 2534763901 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083622971 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2010-03-03 |
Provider Mailing Address Detail
| Address | 4002 South 'm' Street |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 98418 |
| Phone Number | 2534740606 |
| Fax Number | 2534763901 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6326 |
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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 identifier code issued to Willie James Mccullum by the Centers for Medicare & Medicaid Services (CMS)?
The Willie James Mccullum has been assigned the NPI (National Provider Identifier) 1083622971. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Willie James Mccullum's facilities are geographically located?
The facilities of Willie James Mccullum are physically situated at the following location: 4002 South 'M' Street, Tacoma, WA, 98418.
What is Willie James Mccullum'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 Willie James Mccullum is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did Willie James Mccullum receive its 1083622971 assignment from the Centers for Medicare & Medicaid Services?
The Willie James Mccullum was assigned its 1083622971 on 2006-08-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Willie James Mccullum most recently updated or revised?
The details related to Willie James Mccullum, including its address, specialty, and other relevant information, were last updated or revised on 2010-03-03.