Matthew J Mccullough Dmd Pc

LBN: Matthew J Mccullough Dmd Pc
Matthew J Mccullough Dmd Pc is an health care organization with primary practice located at 1300 E City Route 40 , Greenville IL 62246-2501. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. Matthew J Mccullough Dmd Pc can be contacted via phone (618) 664-1483, or through Mccullough, Matthew James via phone (618) 664-1483.

Contact Information

Primary practice address
1300 E City Route 40 Greenville IL 62246-2501
Phone: (618) 664-1483
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccullough, Matthew James Doctor of Dental Medicine (DMD)
Phone: (618) 664-1483

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019025298 Illinois
Suppliers / Customized Equipment 332BC3200X 019-025298 Illinois

Profile Details

NPI number 1245379171
LBN Legal business name Matthew J Mccullough Dmd Pc
DBA Doing business as
Authorized official Mccullough, Matthew James Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated May 7th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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