Jeannine Cullum in San Augustine - General Practice
Jeannine Cullum - NPI 1407036072
Jeannine Cullum is a General Practice in San Augustine, Texas. Jeannine Cullum practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeannine Cullum is 1407036072. The last update date is 2007-11-12.
Jeannine Cullum's current location address is 214 E Main St, San Augustine, Texas. You can contact this provider via phone number 9362753101 and fax number 9362751551. The mailing address for Jeannine Cullum is 214 E Main St, San Augustine, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannine Cullum |
|---|---|
| Address | 214 E Main St, San Augustine, Texas |
| Phone Number | 9362753101 |
| Fax Number | 9362751551 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407036072 |
|---|---|
| Provider Enumeration Date | 2007-11-12 |
| Last Updated Date | 2007-11-12 |
Provider Mailing Address Detail
| Address | 214 E Main St |
|---|---|
| City | San Augustine |
| State | Texas (TX) |
| Post Code | 759722032 |
| Phone Number | 9362753101 |
| Fax Number | 9362751551 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 18319 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Jeannine Cullum?
The Jeannine Cullum has been issued the NPI (National Provider Identifier) 1407036072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jeannine Cullum is located?
The Jeannine Cullum is situated at the following address: 214 E Main St, San Augustine, TX, 759722032.
What is Jeannine Cullum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeannine Cullum is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did Jeannine Cullum receive its 1407036072 assignment?
The Jeannine Cullum was assigned its 1407036072 on 2007-11-12, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jeannine Cullum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeannine Cullum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-12.