Individual
DR. MATTHEW JAMES MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1300 E CITY ROUTE 40, GREENVILLE, IL 62246-2501
(618) 664-1483
Mailing address
12 WHIPPOORWILL DR, GREENVILLE, IL 62246-2766
(618) 664-3153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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