Mccullough, Thomas C
Mccullough, Thomas C is an individual health care provider with primary practice located at 3226 132Nd St Sw Ste 106, Mill Creek WA 98012. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mccullough, Thomas C can be contacted via phone (425) 379-2848.Contact Information
Primary practice address
3226 132Nd St Sw Ste 106
Mill Creek WA 98012
Phone: (425) 379-2848
Fax: (425) 338-4651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4770 | Washington |
Profile Details
| NPI number | 1447382353 |
|---|---|
| LBN Legal business name | Mccullough, Thomas C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447382353 | NPPES |
| Washington | MEDICAID | 5398904 |
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