Individual
DR. JACOB H MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8901 WISCONSIN AVE BETHESDA MD 20889, BETHESDA, MD 20889-0001
(206) 697-1751
Mailing address
WALTER REED NATIONAL MILITARY CTR 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-0064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13453484-9921
UT
Other
Enumeration date
07/14/2023
Last updated
06/22/2026
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