Dr Pamela R McCullough DDS PA
Dentist, General Practice in Newton, KS. Organization (NPI-2).
NPI number1245230374
StatusActive
Last updated in NPPESAug 27, 2013
Details
- NPI
- 1245230374
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Pamela R McCullough DDS PA
- Organization subpart
- No
- Enumeration date
- Jul 29, 2005
- Last updated
- Aug 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6191 | KS | Yes |
Practice location
229 N Main StNewton, KS 67114-3442
Phone 316-283-0870 · Fax 316-282-2500
Mailing address
229 N Main StNewton, KS 67114-3442
Phone 316-283-0870 · Fax 316-282-2500
Authorized official
Pamela Rae McCullough
President
3162830870
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