Matthew R Culligan in Manitowoc - Dentist
Matthew R Culligan - NPI 1710970967
Matthew R Culligan is a Dentist in Manitowoc, Wisconsin. Matthew R Culligan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Matthew R Culligan is 1710970967. The last update date is 2007-07-08.
Matthew R Culligan's current location address is 1503 Randolph Ct, Manitowoc, Wisconsin. You can contact this provider via phone number 9206820321 and fax number 9206823128. The mailing address for Matthew R Culligan is 1503 Randolph Ct, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew R Culligan |
|---|---|
| Address | 1503 Randolph Ct, Manitowoc, Wisconsin |
| Phone Number | 9206820321 |
| Fax Number | 9206823128 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1710970967 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1503 Randolph Ct |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542208345 |
| Phone Number | 9206820321 |
| Fax Number | 9206823128 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5866 015 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33794600 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Matthew R Culligan by the Centers for Medicare & Medicaid Services?
The Matthew R Culligan has been issued the NPI (National Provider Identifier) 1710970967. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Matthew R Culligan is located?
The Matthew R Culligan is situated at the following address: 1503 Randolph Ct, Manitowoc, WI, 542208345.
What is Matthew R Culligan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Matthew R Culligan is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date was the 1710970967 assigned to Matthew R Culligan?
The Matthew R Culligan was issued its 1710970967 on 2005-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Matthew R Culligan most recently updated or refreshed?
The details pertaining to the Matthew R Culligan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.