GEORGE A. MCCULLY DMD PC (NPI# 1467893347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467893347 |
Entity Type | Organization |
Organization Name | GEORGE A. MCCULLY DMD PC |
Practice Address |
622 E 22nd Ave Suite B Eugene OR 97405-2989 |
Practice Telephone | 5414851444 |
Practice Fax Number | 5414851445 |
Mailing Telephone | 5414851444 |
Mailing Fax Number | 5414851445 |
Enumeration Date | 2013-07-09 |
Last Update Date | 2013-07-09 |
Authorized Official Name | DR. GEORGE ALTON MCCULLY (PRESIDENT) |
Authorized Official Telephone | 5414851444 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
622 E 22ND AVE SUITE B |
City | EUGENE |
State | OR |
Zip Code | 97405-2989 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689671844 | George Alton Mccully | Dentist | 622 E 22nd Ave, Suite B, Eugene, OR 97405-2989 | 2005-07-02 |
1003913906 | Jeffrey M Mulford | Dentist | 622 E 22nd Ave, Eugene, OR 97405-2989 | 2006-09-20 |
1871586636 | James Howard Sweeney | Dentist | 622 E 22nd Ave, Suite A, Eugene, OR 97405-2989 | 2005-08-26 |
1114924271 | Anthony James Elford | Dentist | 622 E 22nd Ave, Bldg F, Eugene, OR 97405 | 2005-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
Find all providers in zip 97405 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063917979 | Elford Mckim LLC | Clinic/Center | 1045 Willagillespie Rd Ste 125, Eugene, OR 97401-6799 | 2018-03-25 |
1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
1003228511 | Robert G. Whicker, Dds, PC | Clinic/Center | 4725 Village Plaza Loop Ste 101, Eugene, OR 97401-6677 | 2014-06-02 |
1043858780 | Valley River Family Dental PC | Clinic/Center | 1400 Executive Pkwy Ste 310, Eugene, OR 97401-7102 | 2019-12-12 |
1821477696 | White Bird Mobile Dental | Clinic/Center | 1400 Mill St, Eugene, OR 97401-4259 | 2015-05-26 |
1457764920 | Lane Community College | Clinic/Center | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2014-06-03 |
1669895132 | Butler Family Dental, PC | Clinic/Center | 1745 W 17th Ave, Eugene, OR 97402-3618 | 2014-02-03 |
1356698260 | Thomas E. Houston, Dmd, PC | Clinic/Center | 1745 W 17th Ave, Eugene, OR 97402-3618 | 2012-08-09 |
1174889026 | Amy R. Mcdaniel, Dmd, PC | Clinic/Center | 2233 Willamette St, Suite A, Eugene, OR 97405-2890 | 2012-04-04 |
1295001998 | William B Sproul, D.m.d., P.C. | Clinic/Center | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2012-03-27 |
Find all providers in EUGENE |
Please comment or provide details below to improve the information on GEORGE A. MCCULLY DMD PC.
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.