Individual
DR. JOHN J CULLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
540 EAST MAIN ST, LEXINGTON, KY 40508
(859) 253-2285
(859) 253-2286
Mailing address
540 EAST MAIN ST, LEXINGTON, KY 40508
(859) 253-2285
(859) 253-2286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000154482
ANTHEM BCBS FED GOV
KY
01
—
641639
UNITED CONCORDIA
—
Enumeration date
03/20/2006
Last updated
04/05/2012
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