Individual
DANIEL CHARLES MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
534 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-4012
(334) 806-7016
Mailing address
534 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-4012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901021590
MI
1223G0001X
General Practice Dentistry
Primary
6224
AL
Other
Enumeration date
06/23/2015
Last updated
08/18/2025
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