DR. WILLIE JAMES MCCULLUM (NPI# 1083622971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083622971 |
| Entity Type | Individual |
| Full Name | DR. WILLIE JAMES MCCULLUM |
| Credential | DDS |
| Practice Address |
4002 South 'm' Street Suite A Tacoma WA 98418 |
| Practice Telephone | 2534740606 |
| Practice Fax Number | 2534763901 |
| Mailing Telephone | 2534740606 |
| Mailing Fax Number | 2534763901 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6326 | WA | Dental Providers |
| Street Address |
4002 SOUTH 'M' STREET SUITE A |
| City | TACOMA |
| State | WA |
| Zip Code | 98418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240287 | Zindt Chiropractic Center Pllc | Chiropractor | 3819 S. M St., Tacoma, WA 98418 | 2020-03-19 |
| 1649756792 | Jaime Armenta | Counselor | Tacoma-pierce County Health Department, 3629 South D Street, Tacoma, WA 98418 | 2018-07-12 |
| 1407166655 | Wjm Dental Inc | Dentist | 4002 South M Street, Suite A, Tacoma, WA 98418 | 2010-10-20 |
| 1255453890 | Stephen Joseph Bauml | Chiropractor | 212 So 37th St, Tacoma, WA 98418 | 2007-04-04 |
| 1710015912 | Lincoln Pharmacy LLC | Pharmacy | 821b S 38th St, Tacoma, WA 98418 | 2007-03-01 |
| 1104961093 | Still Well Chiropractic Clinic Inc | Chiropractor | 4537 S Yakima, Tacoma, WA 98418 | 2007-02-20 |
| 1497813851 | Penelope S. Zindt | Chiropractor | 3819 So M, Tacoma, WA 98418 | 2006-12-05 |
| 1902987092 | Donna Leigh Daeschner | Dentist | 4001 So. Yakima Avenue, Tacoma, WA 98418 | 2006-10-17 |
| 1871500322 | Michelle Gray Marconi | Chiropractor | 4537 So. Yakima Ave, Tacoma, WA 98418 | 2006-08-01 |
| 1780604009 | Living & Wellness Centers Ps | Physical Medicine & Rehabilitation | 3716 Pacific Ave, #e, Tacoma, WA 98418 | 2006-07-20 |
| Find all providers in zip 98418 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205904 | Bianca Elisa Gardner | Dentist | Building 9900 Lincoln Street, Tacoma, WA 98431-0001 | 2020-08-12 |
| 1568003002 | Dylan Morgan | Dentist | Bldg 9900 Lincoln St, Tacoma, WA 98431-0001 | 2019-10-07 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
| 1205327020 | Charles Lamar Lewis | Dentist | 9900 Lincoln St 2nd Floor, Tacoma, WA 98431-1100 | 2018-05-29 |
| 1265950737 | Scott Jeffrey Sullivan | Dentist | 3516 S 47th St Ste 104, Tacoma, WA 98409-4427 | 2017-09-06 |
| 1235687500 | Erika K. Ridgeway | Dentist | 1148 72nd St E Unit B, Tacoma, WA 98404-1806 | 2016-09-15 |
| 1003363631 | Giovanna Dainty | Dentist | 9900 Lincoln Street Us Army Dental Health Activity Jblm, Tacoma, WA 98431-0001 | 2016-09-01 |
| 1023563558 | Tiffany Lamberton | Dentist | 2522 N Proctor St # 29, Tacoma, WA 98406-5338 | 2016-08-25 |
| 1316491731 | Bradford Spika | Dentist | 3623 55th St Ne, Tacoma, WA 98422-4570 | 2016-08-15 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.