IndividualActive
Crystal Mccullough, DENTAL HYGIENIST
NPI 1053843185 · Dental Hygienist · Clinton, MO
Provider details
- NPI number
- 1053843185
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- DENTAL HYGIENIST
- Sex
- Female
- Sole proprietor
- No
- License
- 2016021116 (MO)
Specialties & taxonomies
Dental Providers
Practice location
1800 Community
Clinton, MO 64735-8804
Phone: (888) 403-1071
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Community
Clinton, MO 64735-8804
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2018-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.