Dr. Jeremy Wade Cull
Oral and Maxillofacial Surgeon
1876 E Sabin Drive Suite #18
Casa Grande
, Arizona 85222
Dr. Jeremy Wade Cull
Oral and Maxillofacial Surgeon
1876 E Sabin Drive Suite #18
Casa Grande
, Arizona 85222
(520) 423-3013
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeremy Wade Cull
- 1876 E Sabin Dr Ste 6
- Casa Grande, AZ
- Zip : 85122-6197
- Fax : (520) 423-3013
- Phone : (520) 876-5227
Second Address
- Dr. Jeremy Wade Cull
- 1876 E Sabin Drive Suite #18
- Casa Grande, AZ
- Zip : 85222
- Fax : (520) 876-4059
- Phone : (520) 876-5227
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 7170 | AZ |
National Provider Identifier
| NPI | 1104021476 |
|---|---|
| Provider Name | Dr. Jeremy Wade Cull |
| First Address | Casa Grande, AZ 85122-6197 |
| Second Address | Casa Grande, AZ 85222 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2007 |
| Last Update Date | 04/11/2019 |
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.