Brian Todd McCullough

General Practice Dentistry · Brandon, MS

Individual Active NPI

NPI number 1417629817

Practice location

706 Belle Oak Trl
Brandon, MS 39042-8205
Phone
(166) 254-9795

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NPI record

NPI
1417629817
Entity type
Individual (Type 1)
Enumeration date
October 4, 2021
Last updated
October 4, 2021
Certified
May 9, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4251-21 MS

About Brian McCullough

Brian Todd McCullough is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 706 Belle Oak Trl, Brandon, MS 39042-8205. The NPI number 1417629817 was assigned on October 4, 2021 and the record was last updated on October 4, 2021.

Brian McCullough lists a license in the registry: #4251-21 (MS) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Todd McCullough?

The NPI number is 1417629817.

What is the phone number of Brian McCullough?

The phone number listed for the practice location is (166) 254-9795.

Where is Brian McCullough located?

706 Belle Oak Trl, Brandon, MS 39042-8205.

What is the taxonomy code for Brian McCullough?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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