OrganizationActive
Dr. Daniel R Cullum PA
NPI 1386020550 · Oral and Maxillofacial Surgery (Dentist) · Coeur D Alene, ID
Provider details
- NPI number
- 1386020550
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Daniel Cullum, President(208) 667-5565
- License
- D-3149-OS (ID)
Specialties & taxonomies
Dental Providers
Practice location
1859 N Lakewood Dr
Ste 101
Coeur D Alene, ID 83814-2661
Phone: (208) 667-5565
Fax: (208) 765-9633
Approximate (ZIP-level) locationGet directions
Mailing address
1859 N Lakewood Dr
Coeur D Alene, ID 83814-2661
Other names (DBA / former)
- Doing business as
- Implants Northwest
Registry dates
- Enumerated
- 2015-08-10
- Last updated
- 2015-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.