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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWN TIMOTHY MCCULLOUGH, DDS

Active

Dentist · NORTH BRANCH, MN

Registration Details

NPI Number
1023171196
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2006 (19.366235858253 yrs)
Last Updated
Jul 8, 2007
License
011245 (MN)

Practice Information

Address
6041 MAIN STREET
SUITE C
NORTH BRANCH, MN, 55056
Browse MN providers · Browse ZIP 55056
Phone
6516744811
Fax
6512770411
Primary Specialty
Dentist
122300000X

Other Dentist Providers in NORTH BRANCH, MN

Name Credential NPI
DR. STEVEN LEWIS CLAWSON DDS 1477527216
MISS PRIYA DEVI SHAFFER DDS 1386901007
DR. KYLE MERRICK DDS 1417515339
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.