Dr. Daniel R Cullum Pa
Oral and Maxillofacial Dental Clinic
1859 N Lakewood Dr, Ste 101, Coeur D Alene
Idaho, 83814-2661
208-667-5565 208-765-9633
Maps & DirectionsDr. Daniel R Cullum Pa is a Oral and Maxillofacial Dental Clinic in Coeur D Alene, Idaho. It is located at 1859 N Lakewood Dr, Ste 101, Coeur D Alene, ID and its contact number is 208-667-5565. The authorized person for Dr. Daniel R Cullum Pa is Dr. Daniel Cullum
who is President of the clinic and their contact number is 208-667-5565. The primary license number for Dr. Daniel R Cullum Pa is D-3149-OS (Oral and Maxillofacial Surgery) in Idaho.
Dr. Daniel R Cullum Pa Clinic deals with 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.
Complete Clinic Profile:
Dr. Daniel R Cullum Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Dr. Daniel R Cullum Pa |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1859 N Lakewood Dr, Ste 101, Coeur D Alene,
Idaho, 83814-2661 |
| Phone: | 208-667-5565 |
| Fax: | 208-765-9633 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Daniel Cullum |
| Position: | President |
| Contact Number: | 208-667-5565 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dr. Daniel R Cullum Pa clinic are as mentioned below.
| NPI Number: | 1386020550 |
| NPI Enumeration Date: | 10 Aug, 2015 |
| NPI Last Update On: | 10 Aug, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Daniel R Cullum Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | D-3149-OS | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| D-3149-OS | Other | Idaho | State License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Daniel R Cullum Pa
1859 N Lakewood Dr, Ste 101
Coeur D Alene, Idaho |
| Zip: | 83814-2661 |
| Phone Number: | 208-667-5565 |
| Fax Number: | 208-765-9633 |
Patients can reach Dr. Daniel R Cullum Pa at
1859 N Lakewood Dr, Ste 101, Coeur D Alene, Idaho or can
call to book an appointment on 208-667-5565.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.