SHAWN MCCULLOUGH, DDS

Dentist

Active Individual
NPI: 1023171196

Practice Address

6041 MAIN STREET
SUITE C
North Branch, MN 55056

Phone: (651) 674-4811

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 011245 (MN)

Frequently Asked Questions

NPI 1023171196 is the National Provider Identifier for SHAWN MCCULLOUGH, DDS, a Dentist provider located in North Branch, MN. This NPI was enumerated on December 19, 2006.
SHAWN MCCULLOUGH, DDS practices at 6041 MAIN STREET, SUITE C, North Branch, MN 55056.

Quick Facts

NPI
1023171196
Type
Individual
Enumerated
Dec 19, 2006
Last Updated
Jul 8, 2007

Nearby Providers