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Active NPI 1164926788 Individual Practitioner Male Practitioner

Dr. Robert Lyle Mccullough , DMD

Dentist - General Practice • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Dr. Robert Mccullough, DMD is a registered healthcare professional specializing in Dentist - General Practice in Tigard, OR. Practice services are available at 11820 SW KING JAMES PL STE 20 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11820 Sw King James Pl Ste 20

Tigard, OR 972242481

Telephone 5039682901
Fax 5034064988
Associated Practice Facility / Clinic
🏢 Tigard Family Dental, Pc Facility NPI 1205135118

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Tigard, OR (1994 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 OR D11114

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

1 Associated Practitioners
Dr. Phil Han , DMD

Dentist - General Practice

NPI 1548600695

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 10, 2019

Registered at 11820 SW KING JAMES PL STE 20, TIGARD, OR 972242481 (Tel: 5039682901)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2019

Dentist (License #D11114 in OR)

NPI Profile Active March 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2018

Registered at 10894 S RIVER FRONT PKWY, SOUTH JORDAN, UT 840955609 (Tel: 8018781200)

📍
Updated Business Mailing Address March 20, 2018

Registered at 27440 SW VANDERSCHUERE RD, HILLSBORO, OR 971239439 (Tel: 5039648909)

👤
Provider Name / Credentials Updated March 20, 2018

Recorded as ROBERT MCCULLOUGH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2018

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: 1164926788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2018
Last Update: September 10, 2019
Sole Proprietor: Yes

Mailing Address

27440 Sw Vanderschuere Rd

Hillsboro, OR 971239439

Phone: 5039648909

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.