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Active NPI 1982202537 Organization (Entity Type 2)

Thomas C. Mcculloch, Dds

Clinic/Center - Dental • Webster, TX

About Thomas C. Mcculloch, Dds NPI 1982202537 Summary

Thomas C. Mcculloch, Dds is a verified healthcare organization specializing in Clinic/Center - Dental operating in Webster, TX. Located at 11 PROFESSIONAL PARK DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1982202537.

Administrative operations and authorized compliance are overseen by Kelly Brown (Dental Hygienist).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

11 Professional Park Dr

Webster, TX 775984123

Telephone 2813327010
Fax 2813327212

Authorized Official Information

Authorized Contact Name

Kelly Brown , RDH

Title / Role

Dental Hygienist

Official Telephone

2813327010

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Dentist - General Practice

Webster, TX

View Practitioner Profile →
Jeffrey Price NPI 1659295566

Dentist

Webster, TX

View Practitioner Profile →

Dentist - General Practice

Webster, TX

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 15, 2020

NPI status registered as active in NPPES database

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Updated Practice Location October 15, 2020

Registered at 11 PROFESSIONAL PARK DR, WEBSTER, TX 775984123 (Tel: 2813327010)

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Updated Business Mailing Address October 15, 2020

Registered at PO BOX 57220, WEBSTER, TX 775987220 (Tel: 2813327010)

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Organization / Clinic Name Updated October 15, 2020

Operating as THOMAS C. MCCULLOCH, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2020

Clinic/Center

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Initial NPI Registration & Enumeration October 15, 2020

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1982202537
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 15, 2020
Last Update: October 15, 2020

Mailing Address

Po Box 57220

Webster, TX 775987220

Phone: 2813327010

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.