IndividualActive
Daniel Cullum, DDS
NPI 1689744831 · Oral and Maxillofacial Surgery (Dentist) · Coeur D Alene, ID
Provider details
- NPI number
- 1689744831
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D3149-0S (ID)
Specialties & taxonomies
Dental Providers
Practice location
1859 N Lakewood Dr
Suite 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
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.