DR. HEATHER RENAE MCCULLUM


Address: 3827 Taylorsville Rd, Louisville, KY 40220-1345
Phone: 5024517803

DR. HEATHER RENAE MCCULLUM (NPI# 1306165758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306165758
Entity Type Individual
Full Name DR. HEATHER RENAE MCCULLUM
Credential DMD
Practice Address 3827 Taylorsville Rd
Louisville
KY 40220-1345
Mailing Address 4516 Outer Loop
Louisville
KY 40219-3857
Practice Telephone 5024517803
Mailing Telephone 5029649094
Enumeration Date 2010-05-25
Last Update Date 2018-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
1018 KY Dental Providers

Office Location

Street Address 3827 TAYLORSVILLE RD
City LOUISVILLE
State KY
Zip Code 40220-1345

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1053828145 Angelique Marie Leist Registered Nurse 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 2018-01-10
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1215300611 Katie Kipfer Day Training/Habilitation Specialist 3902 Graf Drive, Louisville, KY 40220 2015-11-06
1639547987 Meghan Hillerich Home Health 13 Canterbury Drive, Louisville, KY 40220 2015-09-03
1376921098 Dental Services of Kentucky, Psc Dentist 3946 Taylorsville Rd., Louisville, KY 40220 2015-05-14
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164089231 Brian Barrett Glatt Dentist 304 Axis Dr Apt 201, Louisville, KY 40206-0169 2019-05-23
1942760996 Danielle Cianciolo Dentist 205 Tyne Rd, Louisville, KY 40207-3443 2019-03-24
1033604327 Bbb of In, LLC Dentist 11801 Brinley Ave Ste 100, Louisville, KY 40243-3006 2018-06-28
1649765462 Bbb of Ky, LLC Dentist 5225 Dixie Hwy, Louisville, KY 40216 2018-06-25
1194096115 V.s. Degeorge, Dmd, Psc Dentist 8013 New Lagrange Road, Suite #3, Louisville, KY 40222-4077 2012-01-23
1326349283 Robert J Edwards Dentist 877 E South Boulder Rd, Louisville, CO 80027 2010-11-09
1154649705 Matthew Alan Akridge Dentist 12405 Old Shelbyville Rd, Louisville, KY 40243-1505 2010-05-06
1417190562 Lamont Ray Gholston Dentist 928 E Broadway, Louisville, KY 40204-1057 2009-04-18
1578723169 Hannah Rae Oliver Dentist 6613 Everton Dr, Louisville, KY 40258-3368 2008-06-17
1558587014 Carol M Summe Dentist 140 Chenoweth Ln, Louisville, KY 40207-2651 2007-04-17
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40220

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Dataset Information

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.

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