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Contact Information

ALEX L MCCULLOCH, DDS
143 AIRPORT ROAD
IN CARE OF GRACE FAMILY DENTISTRY
CONCORD, NH03301
 Phone: 603-225-6650
 Fax: 603-225-9495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ALEX L MCCULLOCH · (Male)

NPI # 1023173598
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 3170
  • NH Medicaid 30300918
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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