Organization · Type 2 NPI
Drs. McCullom P.c.
Periodontics · Chicago, IL
NPI number
1972649200
Active
Practice location
820 E 87th St, Suite 201
Chicago, IL 60619-6253
Fax (773) 874-6575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4 other providers at this address
Other periodontics providers in Chicago
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- Choi Periodontics IncPeriodontics Chicago, IL NPI 1205109188
- Polina Gubareva DMD PLLCPeriodontics Chicago, IL NPI 1205735982
- Specialty Dental Services LtdPeriodontics Chicago, IL NPI 1275409153
- Periodontics & Dental Implant Center LtdPeriodontics Chicago, IL NPI 1275874182
- Periodontics Ltd.Periodontics Chicago, IL NPI 1336219856
- Periodontal Medicine and Surgical Specialists, LLCPeriodontics Chicago, IL NPI 1386098390
About NPI 1972649200
Drs. McCullom P.c.'s National Provider Identifier is 1972649200, issued on Jan 30, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Sep 11, 2025.