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Active NPI 1730390063 Individual Practitioner Female Practitioner

Dr. Christina Marie Mccullough , DDS

Dentist - General Practice • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Dr. Christina Mccullough, DDS is a registered healthcare professional specializing in Dentist - General Practice in Maple Grove, MN. Practice services are available at 15785 95TH AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15785 95th Ave N

Maple Grove, MN 553694404

Telephone 7634205484
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Maple Grove, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D12386

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. James Healy , DDS

Dentist - General Practice

NPI 1023177011

Doctor of Dental Surgery

Dr. Noah Rounds , DDS

Dentist - General Practice

NPI 1528120557

Doctor of Dental Surgery

NPI 1528624566

Doctor of Dental Surgery

Dr. Kristine Rosenthal , DDS

Dentist - General Practice

NPI 1801959242

Doctor of Dental Surgery

NPI 1821665001

Doctor of Dental Surgery

NPI 1891142832

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2013

Registered at 15785 95TH AVE N, MAPLE GROVE, MN 553694404 (Tel: 7634205484)

📍
Updated Business Mailing Address August 12, 2013

Registered at 15785 95TH AVE N, MAPLE GROVE, MN 553694404 (Tel: 7634205484)

👤
Provider Name / Credentials Updated August 12, 2013

Recorded as CHRISTINA MCCULLOUGH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2013

Dentist (License #D12386 in MN)

🟢
Initial NPI Registration & Enumeration May 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730390063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2007
Last Update: August 12, 2013
Sole Proprietor: No

Mailing Address

15785 95th Ave N

Maple Grove, MN 553694404

Phone: 7634205484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.