Organization · Type 2 NPI

Matthew J McCullough, Dmd, 3 LLC

Dental Clinic/Center · East Alton, IL

NPI number 1295624948 Active

Practice location

96 S 9th St
East Alton, IL 62024-1715

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1295624948

Matthew J McCullough, Dmd, 3 LLC's National Provider Identifier is 1295624948, issued on Jun 30, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in East Alton, IL. The record was last updated on Jun 30, 2025.