Organization
DR PAMELA R MCCULLOUGH DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA RAE MCCULLOUGH DDS (PRESIDENT)
(316) 283-0870
Entity
Organization
Contact information
Practice address
229 N MAIN ST, NEWTON, KS 67114-3442
(316) 283-0870
(316) 282-2500
Mailing address
229 N MAIN ST, NEWTON, KS 67114-3442
(316) 283-0870
(316) 282-2500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6191
KS
Other
Enumeration date
07/29/2005
Last updated
08/27/2013
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