Paul Edward Cullum in Columbia - Oral And Maxillofacial Surgery

Paul Edward Cullum - NPI 1194748285

Paul Edward Cullum is a Oral And Maxillofacial Surgery in Columbia, Tennessee. Paul Edward Cullum practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Paul Edward Cullum is 1194748285. The last update date is 2011-11-11.

Paul Edward Cullum's current location address is 105 Berrywood Dr, Columbia, Tennessee. You can contact this provider via phone number 9313817766 and fax number 9313812738. The mailing address for Paul Edward Cullum is 105 Berrywood Dr, Columbia, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Edward Cullum
Address 105 Berrywood Dr, Columbia, Tennessee
Phone Number 9313817766
Fax Number 9313812738
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1194748285
Provider Enumeration Date 2006-07-26
Last Updated Date 2011-11-11

Provider Mailing Address Detail

Address 105 Berrywood Dr
City Columbia
State Tennessee (TN)
Post Code 384016409
Phone Number 9313817766
Fax Number 9313812738

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DS3661
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3072215 TN BLUE CROSS BLUE SHIELD TN
909843 TN UNITED CONCORDIA
80-40025 TN UNITED HEALTHCARE
10342 TN TENNCARE
909843 TN BLUE CROSS BLUE SHIELD PA

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FAQs about Paul Edward Cullum

What is the Paul Edward Cullum's 1194748285?

The Paul Edward Cullum's NPI (National Provider Identifier) Number is 1194748285. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Paul Edward Cullum's facilities are geographically located?

The facilities of Paul Edward Cullum are physically situated at the following location: 105 Berrywood Dr, Columbia, TN, 384016409.

What is Paul Edward Cullum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Paul Edward Cullum is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.

When did the Paul Edward Cullum receive its 1194748285?

The Paul Edward Cullum was issued its 1194748285 on 2006-07-26, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Paul Edward Cullum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Paul Edward Cullum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-11.

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