SearchOregonGeneral Practice Dentistry

Robert Mccullough, DMD

NPI 1164926788 · on the registry since 2018 · sole proprietor

Practice

Address
11820 Sw King James Pl Ste 20
Tigard, OR 97224
Phone
(503) 968-2901
Fax
(503) 406-4988
Organisation at this address
Tigard Family Dental, Pc
Oregon Mobile Dentistry, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-10
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon