Individual provider · Type 1 NPI

Daniel Ray Cullum, DDS

Oral and Maxillofacial Surgery (Dentist) · Coeur D Alene, ID

NPI number 1689744831 Active

Practice location

1859 N Lakewood Dr, Suite 101
Coeur D Alene, ID 83814-2661

Fax (208) 765-9633

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD3149-0S (ID)

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.

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About NPI 1689744831

Daniel Ray Cullum, DDS's National Provider Identifier is 1689744831, issued on Nov 8, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 8, 2007.