| Jeannine Cullum Dds, Pllc | |
|
214 E Main St San Augustine TX 75972-2032 | |
| (936) 275-3101 | |
| (936) 275-1551 |
| Full Name | Jeannine Cullum Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 214 E Main St, San Augustine, Texas |
| Authorized Official Name and Position | Jeannine Cullum (PRESIDENT) |
| Authorized Official Contact | 9362753101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannine Cullum Dds, Pllc 214 E Main St San Augustine TX 75972-2032 Ph: (936) 275-3101 | Jeannine Cullum Dds, Pllc 214 E Main St San Augustine TX 75972-2032 Ph: (936) 275-3101 |
| NPI Number | 1386905248 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386905248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18319 (Texas) | Primary |