DR. BRUCE H MCCULLAR


Address: 805 Estate Pl, Ste 2, Memphis, TN 38120-0647
Phone: 9016829713

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
3585 TN Dental Providers

Office Location

Street Address 805 ESTATE PL
STE 2
City MEMPHIS
State TN
Zip Code 38120-0647

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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
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Taxonomy Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City MEMPHIS
Zip Code 38120

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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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