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Contact Information

EDWARD J MCCULLOCH, DDS
3585 VAN TEYLINGEN DR
STE F
COLORADO SPRINGS, CO80917-4875
 Phone: 719-597-7111
 Fax: 719-572-0177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for EDWARD J MCCULLOCH · (Male)

NPI Number 1427058445
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/01/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 104717
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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