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Austin Mccullough, DDS — NPI 1417527995, Pocatello, ID | NPI Central

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NPI 1417527995

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Austin Mccullough, DDS

NPI 1417527995 · Dentist · Pocatello, ID

Provider details

NPI number: 1417527995
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: D-5283 (ID)

Specialties & taxonomies

DentistPrimary122300000XLicense D-5283 (ID)
Dental Providers

Practice location

921 S 8th Ave Stop 8088

Pocatello, ID 83209-0002

Phone: (208) 282-6000

Approximate (ZIP-level) locationGet directions

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Mailing address

856 E Carter St Apt 6

Pocatello, ID 83201-5371

Registry dates

Enumerated: 2021-06-28
Last updated: 2021-06-28
Certified: 2021-06-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.