Individual provider · NPI-1

Dr. Jeffrey E Cull

Dentist, General Practice · Muskogee, OK

NPI number1003830381
StatusActive
Last updated in NPPESJul 9, 2024

Details

NPI
1003830381
Entity type
Individual (NPI-1)
Name
Dr. Jeffrey E Cull
Sex
Male
Sole proprietor
No
Enumeration date
Jul 27, 2006
Certification date
Jul 9, 2024
Last updated
Jul 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice8404KYYes

Practice location

1001 S 41st St E
Muskogee, OK 74403-6253

Phone 918-687-0201

Mailing address

Po Box 1069
Tahlequah, OK 74465-1069

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