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Drs. Mccullom P.c.
Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois
NPI 1972649200

Drs. Mccullom P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Chicago, IL and is specialized in Oral and Maxillofacial Surgery. Drs. Mccullom P.c. practices in Chicago, IL. The NPI Number for Drs. Mccullom P.c. is 1972649200 and holds a License No. (Illinois).

The current practice location address for Drs. Mccullom P.c. is 820 E 87Th St, Chicago, IL and can be reached out via phone at 773-488-3738 and via fax at 773-874-6575.

Location: 820 E 87Th St, Chicago, IL, 60619-6253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972649200
Provider Name
Drs. Mccullom P.c.
Credential
Provider Entity Type
Organization
Address
820 E 87Th St, Chicago, IL, 60619-6253
Phone Number
773-488-3738
Fax Number
773-874-6575
Provider Enumeration Date
01/30/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
820 E 87Th St
City
Chicago
State
Illinois
Zip
60619-6253
Phone Number
773-488-3738
Fax Number
773-874-6575
person
Provider Business Mailing Address Details
Address
820 E 87Th St
City
Chicago
State
Illinois
Zip
60619-6253
Phone Number
773-488-3738
Fax Number
773-874-6575
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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