Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083622971 Individual Practitioner Male Practitioner

Dr. Willie James Mccullum , DDS

Dentist • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Dr. Willie Mccullum, DDS is a registered healthcare professional specializing in Dentist in Tacoma, WA. Practice services are available at 4002 SOUTH 'M' STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4002 South 'm' Street
Suite A

Tacoma, WA 98418

Telephone 2534740606
Fax 2534763901
Associated Practice Facility / Clinic
🏢 Wjm Dental Inc Facility NPI 1407166655

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
145 Specialists

Practicing in Tacoma, WA (2853 Statewide)

Telehealth Adoption Rate
0.7% 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA 6326

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 03, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2010

Registered at 4002 SOUTH 'M' STREET, SUITE A, TACOMA, WA 98418 (Tel: 2534740606)

📍
Updated Business Mailing Address March 03, 2010

Registered at 4002 SOUTH 'M' STREET, SUITE A, TACOMA, WA 98418 (Tel: 2534740606)

👤
Provider Name / Credentials Updated March 03, 2010

Recorded as WILLIE MCCULLUM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2010

Dentist (License #6326 in WA)

🟢
Initial NPI Registration & Enumeration August 04, 2006

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: 1083622971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: March 03, 2010
Sole Proprietor: No

Mailing Address

4002 South 'm' Street, Suite A

Tacoma, WA 98418

Phone: 2534740606

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.