Individual
DR. JASON T. CULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1225 DUBLIN RD., SUITE 040, COLUMBUS, OH 43215
(614) 488-9050
(614) 754-5219
Mailing address
1225 DUBLIN RD., SUITE 040, COLUMBUS, OH 43215
(614) 488-9050
(614) 754-5219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21745
OH
1223G0001X
General Practice Dentistry
Primary
30021745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164471
UCCI PROVIDER #
OH
Enumeration date
06/07/2006
Last updated
07/21/2022
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