Willie Mccullum, DDS
NPI 1083622971 · Dentist · Tacoma, WA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Willie Mccullum, DDS is a Dentist provider in Tacoma, WA (NPI 1083622971).
Provider details
- NPI number
- 1083622971
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6326 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2010-03-03
Frequently asked questions
- What is Willie Mccullum's NPI number?
- Willie Mccullum's National Provider Identifier (NPI) is 1083622971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willie Mccullum's specialty?
- Willie Mccullum is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Willie Mccullum located?
- Willie Mccullum's practice location on file with NPPES is 4002 South 'M' Street, Tacoma, WA 98418.
- What is Willie Mccullum's phone number?
- The practice phone number listed in the NPPES registry for Willie Mccullum is (253) 474-0606.
- Does Willie Mccullum accept Medicare?
- Willie Mccullum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Willie Mccullum's NPI active?
- Yes — Willie Mccullum's NPI (1083622971) is active in the NPPES registry as of the last update on 2010-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.