Individual provider · Type 1 NPI

Austin McCullough, DDS

Dentist · Pocatello, ID

NPI number 1417527995 Active

Practice location

921 S 8th Ave Stop 8088
Pocatello, ID 83209-0002

Mailing address

856 E Carter St Apt 6, Downstairs Under The Porch
Pocatello, ID 83201-5371

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD-5283 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1417527995

Austin McCullough, DDS's National Provider Identifier is 1417527995, issued on Jun 28, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 28, 2021.