Individual provider · Type 1 NPI
Jeremy Wade Cull, DDS
Oral and Maxillofacial Surgery (Dentist) · Casa Grande, AZ
Practice location
1876 E Sabin Drive Suite #18
Casa Grande, AZ 85222
Fax (520) 876-4059
Mailing address
1876 E Sabin Dr, Ste 6
Casa Grande, AZ 85122-6197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7170 (AZ) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1104021476
Jeremy Wade Cull, DDS's National Provider Identifier is 1104021476, issued on Jun 18, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Casa Grande, AZ. The record was last updated on Nov 4, 2019.