Paul George Culver, DDS
Individual provider Active NPI Dentist · Buckeye, AZ
NPI 1215098744 · NPPES record last updated Oct 14, 2023
Key facts
- NPI
- 1215098744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D010610 (AZ)
- Practice address
- 20742 W Western Dr
Buckeye, AZ 85396-8371 - Phone
- (480) 702-8650
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010610 | AZ | MD | Dentist |
| 0002961 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edp of Wisconsin, SC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0002961 | WI | |
| Dentist | 122300000X | D010610 | AZ | Yes |
Addresses
Primary practice location
20742 W Western Dr
Buckeye, AZ 85396-8371
Mailing address
20742 W Western Dr
Buckeye, AZ 85396-8371
Phone (480) 702-8650
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.