Dr. Edward J Mcculloch
Dental Public Health
3585 Van Teylingen Dr Ste F
Colorado Springs
, Colorado 80917-4875
Dr. Edward J Mcculloch
Dental Public Health
3585 Van Teylingen Dr Ste F
Colorado Springs
, Colorado 80917-4875
(719) 572-0177
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Edward J Mcculloch
- 3585 Van Teylingen Dr Ste F
- Colorado Springs, CO
- Zip : 80917-4875
- Fax : (719) 572-0177
- Phone : (719) 597-7111
Second Address
- Dr. Edward J Mcculloch
- 3585 Van Teylingen Dr Ste F
- Colorado Springs, CO
- Zip : 80917-4875
- Fax : (719) 572-0177
- Phone : (719) 597-7111
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 104717 | CO |
National Provider Identifier
| NPI | 1427058445 |
|---|---|
| Provider Name | Dr. Edward J Mcculloch |
| First Address | Colorado Springs, CO 80917-4875 |
| Second Address | Colorado Springs, CO 80917-4875 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.