Individual
THOMAS REID MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
401 W MAIN ST, STROUD, OK 74079-3613
(918) 968-1606
(918) 968-1635
Mailing address
401 W MAIN ST, STROUD, OK 74079-3613
(918) 968-1606
(918) 968-1635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2667
OK
Other
Enumeration date
12/20/2006
Last updated
05/18/2009
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