Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK C KULM, DMD PA
ActiveJACK C KULM, DMD PA is a Dentist healthcare provider located in WENDELL, Idaho. NPI 1275641540 is currently active in the NPPES registry. Verify at CMS.
Dentist · WENDELL, ID
Registration Details
- NPI Number
- 1275641540
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2006 (19.958744447848 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D1679 (ID)
Practice Information
- Address
-
410 N IDAHO STWENDELL, ID, 83355Browse ID providers · Browse ZIP 83355
- Phone
- 2085365441
- Fax
- 2085365873
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WENDELL, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JEREMIAH MCKELL FUNK | DDS | 1649535493 |
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.