| Matthew J Mccullough, Dmd, 3 Llc | |
|
96 S 9th St East Alton IL 62024-1715 | |
| (618) 259-1400 | |
| Not Available |
| Full Name | Matthew J Mccullough, Dmd, 3 Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 96 S 9th St, East Alton, Illinois |
| Authorized Official Name and Position | Matthew Mccullough (PRESIDENT) |
| Authorized Official Contact | 6183397248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Mccullough, Dmd, 3 Llc 96 S 9th St East Alton IL 62024-1715 Ph: () - | Matthew J Mccullough, Dmd, 3 Llc 96 S 9th St East Alton IL 62024-1715 Ph: (618) 259-1400 |
| NPI Number | 1295624948 |
|---|---|
| Provider Enumeration Date | 06/30/2025 |
| Last Update Date | 06/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295624948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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