CHRISTINA MCCULLOUGH DDS PLLC (NPI# 1609432798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609432798 |
| Entity Type | Organization |
| Organization Name | CHRISTINA MCCULLOUGH DDS PLLC |
| Practice Address |
2455 Shadywood Road Orono MN 55331 |
| Practice Telephone | 9524719205 |
| Practice Fax Number | 9524710496 |
| Mailing Telephone | 9524719205 |
| Mailing Fax Number | 9524710496 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| Authorized Official Name | CHRISTINA MARIE MCCULLOUGH (DDS/OWNER) |
| Authorized Official Telephone | 9524719205 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2455 SHADYWOOD ROAD |
| City | ORONO |
| State | MN |
| Zip Code | 55331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558854042 | Melissa Ann Morency | Massage Therapist | 23505 County Road 19, Excelsior, MN 55331 | 2018-06-11 |
| 1801388475 | Susanne B Kanter | Physical Therapist | 23490 Mn-7, Shorewood, MN 55331 | 2018-05-30 |
| 1518367440 | Danielle Marie O'connell | Chiropractor | Knewtson Health Group, 23505 Smithtown Rd Suite 100, Excelsior, MN 55331 | 2014-08-28 |
| 1467893511 | Allison Scott | Pharmacist | 23800 Mn Hwy 7, Shorewood, MN 55331 | 2013-07-17 |
| 1417204751 | Minnetonka Psychology and Wellness | Marriage & Family Therapist | 19765 Highway 7, Suite 203, Shorewood, MN 55331 | 2012-08-06 |
| 1952623456 | Virginia Lee Sievers Green | Occupational Therapist | 464 2nd Street, Suite 105, Excelsior, MN 55331 | 2010-02-24 |
| 1497980163 | Harmonia Health Care | Home Health | 3121 Pillsbury Ave S, Minneapolis, MN 55331 | 2009-05-24 |
| 1831352731 | Kelli J O'shea | Occupational Therapist | 19685 Hwy 7, Shorewood, MN 55331 | 2008-07-10 |
| 1922295658 | Nueva Era Healthcare Services, Inc. | Home Health | 5667 Wood Duck Circle, Shorewood, MN 55331 | 2007-09-26 |
| 1144348665 | Shari Lynn Michels | Occupational Therapist | 810 Excelsior Blvd, Excelsior, MN 55331 | 2007-03-26 |
| Find all providers in zip 55331 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770658775 | Karl G Berg | Dentist | 2765 Kelley Pkwy Ste 140, Orono, MN 55356-5802 | 2006-11-22 |
| 1912925835 | G. J. Farren, Dmd, PC | Dentist | 379 College Ave, Orono, ME 04473-4213 | 2006-07-18 |
| 1376716043 | Maple Plain Dental, Pllc | Dentist | 2765 Kelley Pkwy Ste 140, Orono, MN 55356-5802 | 2008-04-02 |
| 1700058690 | Crystal Lake Family Dental Care, Pllc | Dentist | 2765 Kelley Pkwy Ste 140, Orono, MN 55356-5802 | 2008-03-31 |
| 1386857902 | Gary J Farren | Dentist | 379 College Ave, Orono, ME 04473-4213 | 2007-05-08 |
| 1184799181 | Michael J Skramstad | Dentist | 2765 Kelley Pkwy Ste 140, Orono, MN 55356-5802 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
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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.