Individual
DR. DANIEL MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1360 CADUCEUS WAY, WATKINSVILLE, GA 30677-7300
(678) 588-6757
Mailing address
180 SHERWOOD DR, ATHENS, GA 30606-2330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123792
GA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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