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

JACK C. KULM DMD PA

Active Organization

JACK C. KULM DMD PA is a Dentist organization located in WENDELL, Idaho. NPI 1932364387 is currently active in the NPPES registry. Verify at CMS.

Dentist · WENDELL, ID

Registration Details

NPI Number
1932364387
Provider Type
Organization
NPI Issued
Jul 25, 2008 (18.051813990794 yrs)
Last Updated
Jul 25, 2008
License
D-1679 (ID)

Practice Information

Address
410 N IDAHO ST
WENDELL, ID, 83355
Browse ID providers · Browse ZIP 83355
Phone
2085365441
Fax
2085365873
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.