Individual provider · Type 1 NPI

Heather Renae McCullum, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Louisville, KY

NPI number 1306165758 Active

Practice location

3827 Taylorsville Rd
Louisville, KY 40220-1345

Call (502) 451-7803 Map

Mailing address

4516 Outer Loop
Louisville, KY 40219-3857

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	1018 (KY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1306165758

Heather Renae McCullum, DMD's National Provider Identifier is 1306165758, issued on May 25, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Louisville, KY. The record was last updated on Mar 25, 2018.