npidexNPI registry + Medicare data

DANIEL CULLUM, DDS

Oral and Maxillofacial Surgery (Dentist) · COEUR D ALENE, ID

Individual Active Opted out of Medicare NPI 1689744831

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓D3149-0SID

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2015-10-12 through 2027-10-12.

Other Oral and Maxillofacial Surgery (Dentist) providers in Idaho

See all Oral and Maxillofacial Surgery (Dentist) providers in Idaho →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.