Willie Mclullum Dds - Children's Dentistry is a Dental Clinic in Tacoma, Washington. It is located at 4002 South M Street, Suite A, Tacoma, WA and its contact number is 253-474-0606. The authorized person for Willie Mclullum Dds - Children's Dentistry is Dr. Willie James Mccullum
who is Dentist/owner of the clinic and their contact number is 253-474-0606. The primary license number for Willie Mclullum Dds - Children's Dentistry is 6326 (General Practice) in Washington. Willie Mclullum Dds - Children's Dentistry Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Willie Mclullum Dds - Children's Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Willie Mclullum Dds - Children's Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
4002 South M Street, Suite A, Tacoma, Washington, 98418
Phone:
253-474-0606
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. Willie James Mccullum
Position:
Dentist/owner
Contact Number:
253-474-0606
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 Willie Mclullum Dds - Children's Dentistry clinic are as mentioned below.
NPI Number:
1407166655
NPI Enumeration Date:
20 Oct, 2010
NPI Last Update On:
18 Dec, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Willie Mclullum Dds - Children's Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
6326
Washington
Primary
Pediatric Dentistry
8920
Washington
Secondary
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
5050273
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Willie Mclullum Dds - Children's Dentistry 4002 South M Street, Suite A Tacoma, Washington
Zip:
98418
Phone Number:
253-474-0606
Patients can reach Willie Mclullum Dds - Children's Dentistry at 4002 South M Street, Suite A, Tacoma, Washington or can call to book an appointment on 253-474-0606. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.