DR. BRUCE H MCCULLAR (NPI# 1992709877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992709877 |
Entity Type | Individual |
Full Name | DR. BRUCE H MCCULLAR |
Credential | DDS |
Practice Address |
805 Estate Pl Ste 2 Memphis TN 38120-0647 |
Practice Telephone | 9016829713 |
Practice Fax Number | 9016859633 |
Mailing Telephone | 9016829713 |
Mailing Fax Number | 9016859633 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2007-07-08 |
NPI Deactivation Date | 03/21/2006 |
NPI Reactivation Date | 2006-03-24 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
3585 | TN | Dental Providers |
Street Address |
805 ESTATE PL STE 2 |
City | MEMPHIS |
State | TN |
Zip Code | 38120-0647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
Find all providers in zip 38120 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306391081 | Sarah Elizabeth Aguirre | Dentist | 875 Union Ave # C316, Memphis, TN 38103-3513 | 2016-08-23 |
1629183116 | Gordon Ernest Gruen | Dentist | 780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426 | 2006-08-21 |
1649249533 | Russell C Peck | Dentist | 766 S White Station Rd, Suite #1, Memphis, TN 38117-4579 | 2006-03-14 |
1902183940 | Shokoufeh Shahrabi Farahani | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2011-11-04 |
1386848638 | Drs Albright, Smith & Peck | Dentist | 766 S White Station Rd, Suite #1, Memphis, TN 38117-4579 | 2007-06-12 |
1750444899 | Gilbert G. Stein | Dentist | 1715 Kirby Pkwy, Suite 101, Memphis, TN 38120-4320 | 2006-12-19 |
1487723094 | University of Tennessee | Dentist | 875 Union Ave, Room C309, Memphis, TN 38163-0001 | 2006-11-07 |
1366528119 | Harry Mincer | Dentist | 875 Union Ave, Room C309, Memphis, TN 38163-0001 | 2006-10-27 |
1245316017 | Kenneth Mark Anderson | Dentist | 875 Union Ave, Room C309, Memphis, TN 38163-0001 | 2006-10-27 |
1124133616 | Dwight Adair Morris | Dentist | 780 Ridge Lake Blvd, Suite 101, Memphis, TN 38120-9426 | 2006-08-21 |
Find all providers in MEMPHIS |
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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.