AUSTIN MCCULLOUGH, DDS
Dentist
Active
Individual
NPI: 1417527995
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D-5283 (ID) |
Frequently Asked Questions
NPI 1417527995 is the National Provider Identifier for AUSTIN MCCULLOUGH, DDS, a Dentist provider located in Pocatello, ID. This NPI was enumerated on June 28, 2021.
AUSTIN MCCULLOUGH, DDS practices at 921 S 8TH AVE STOP 8088, Pocatello, ID 83209.
Quick Facts
- NPI
- 1417527995
- Type
- Individual
- Enumerated
- Jun 28, 2021
- Last Updated
- Jun 28, 2021
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