Individual
DR. JIMMY LON CULVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
274 BARNSTABLE RD, HYANNIS, MA 02601-2919
(508) 771-0500
Mailing address
274 BARNSTABLE RD, HYANNIS, MA 02601-2919
(508) 771-0500
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
016-0000685
VT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN13006
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002340
—
VT
Enumeration date
08/02/2006
Last updated
11/25/2014
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