COTTRELL AND MCCULLOUGH DENTAL PLLC (NPI# 1891357067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891357067 |
| Entity Type | Organization |
| Organization Name | COTTRELL AND MCCULLOUGH DENTAL PLLC |
| Practice Address |
36 Homer Ave Queensbury NY 12804-2009 |
| Practice Telephone | 5187931345 |
| Mailing Telephone | 5187931345 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | CARLY MCCULLOUGH (DENTIST/PRESIDENT) |
| Authorized Official Telephone | 5187931345 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | COTTRELL AND MCCULLOUGH DENTAL PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
36 HOMER AVE |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851479570 | Eric Kenneth Cottrell | Dentist | 36 Homer Ave, Queensbury, NY 12804-2009 | 2006-11-01 |
| 1154737526 | Carly Mccullough | Dentist | 36 Homer Ave, Queensbury, NY 12804-2009 | 2014-07-07 |
| 1154663060 | Laura J Cloke | Dentist | 36 Homer Ave, Queensbury, NY 12804-2009 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| 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 |
|---|---|---|---|---|
| 1689020679 | Baybrook Dental Group | Dentist | 31 Willowbrook Rd, Queensbury, NY 12804-5864 | 2016-05-09 |
| 1346529484 | Family Dentistry of Dr Jessica Shin, Pllc | Dentist | 365 Aviation Rd, Queensbury, NY 12804-2915 | 2011-08-08 |
| 1821012881 | Timothy S Kelling | Dentist | 4 Fairfield Dr, Queensbury, NY 12804-1514 | 2006-07-26 |
| 1376906156 | Family Dentistry of Dr Jessica Shin, Pllc | Dentist | 365 Aviation Rd, Queensbury, NY 12804-2915 | 2016-03-30 |
| 1154737526 | Carly Mccullough | Dentist | 36 Homer Ave, Queensbury, NY 12804-2009 | 2014-07-07 |
| 1467865618 | Mark A Franklin | Dentist | 453 Dixon Rd, Suite 5, Queensbury, NY 12804-1949 | 2014-06-05 |
| 1114359387 | Capital Area Hudson Valley Ny Dental PC | Dentist | 123 Quaker Rd, Suite 101, Queensbury, NY 12804-1714 | 2013-07-30 |
| 1154663060 | Laura J Cloke | Dentist | 36 Homer Ave, Queensbury, NY 12804-2009 | 2013-03-19 |
| 1033492244 | Claire Anna Kiehl | Dentist | 1st Advantage Dental, 1092 Route 9, Queensbury, NY 12804-0382 | 2011-09-23 |
| 1104089903 | Jacob Dylan Merryman | Dentist | 453 Dixon Rd, Suite #3, Queensbury, NY 12804-1964 | 2008-07-02 |
| Find all providers in QUEENSBURY | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on COTTRELL AND MCCULLOUGH DENTAL PLLC.
| 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.