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Dr. Robert Lyle Mccullough, DMD
General Practice Dentistry in Tigard, Oregon
NPI 1164926788

Robert Lyle Mccullough is a General Practice Dentistry based in Hillsboro, OR and is specialized in General Practice. Robert Lyle Mccullough practices in Tigard, OR and has the professional credentials of DMD. The NPI Number for Robert Lyle Mccullough is 1164926788 and holds a License No. D11114 (Oregon).

The current practice location address for Robert Lyle Mccullough is 11820 Sw King James Pl Ste 20, Tigard, OR and can be reached out via phone at 503-968-2901 and via fax at 503-406-4988.

Location: 11820 Sw King James Pl Ste 20, Tigard, OR, 97123-9439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164926788
Provider Name
Robert Lyle Mccullough
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
11820 Sw King James Pl Ste 20, Tigard, OR, 97123-9439
Phone Number
503-968-2901
Fax Number
503-406-4988
Provider Enumeration Date
03/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11820 Sw King James Pl Ste 20
City
Tigard
State
Oregon
Zip
97224-2481
Phone Number
503-968-2901
Fax Number
503-406-4988
person
Provider Business Mailing Address Details
Address
11820 Sw King James Pl Ste 20
City
Tigard
State
Oregon
Zip
97224-2481
Phone Number
503-968-2901
Fax Number
503-406-4988
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D11114 (Oregon)
Definition
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.
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