Dental Dream Team Associates LLC Yetta McCullom Sole Mbr
Dentist, Periodontics in Chicago, IL. Organization (NPI-2).
NPI number1972145183
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1972145183
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Dream Team Associates LLC Yetta McCullom Sole Mbr
- Organization subpart
- No
- Enumeration date
- Oct 9, 2019
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | – | – | Yes |
Practice location
820 E 87th St Ste 201Chicago, IL 60619-6256
Phone 773-488-9072 · Fax 888-506-5697
Mailing address
820 E 87th St Ste 201Chicago, IL 60619-6256
Phone 773-488-9072 · Fax 888-506-5697
Authorized official
Yetta G McCullom
Manager Sole Member
7734889072
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Periodontics providers in Chicago, IL
- A-Denta Care Specialist PCNPI 1417223470
- Seema Ashrafi, DDSNPI 1922212133
- Donna Marie Barber, DDSNPI 1154421030
- James Edward Beard, DMD, MSNPI 1063518918
- Peter O Cabrera, D.D.S.NPI 1881732204
- Choi Periodontics INCNPI 1205109188
- John Dimoulis, DDS MSNPI 1962592865
- Donna M. Barber D.D.S. Daniel A. Greenberg D.D.S. P.C.NPI 1861713919
- Drs. McCullom P.C.NPI 1972649200
- Waeil Elmisalati, DDS, MMEDSCNPI 1538430590
All 76 Periodontics providers in Chicago · All 81,422 providers in Chicago
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.