Organization Active NPI

George a. McCully DMD PC

  • Dental Clinic/Center
  • Eugene, OR
National Provider Identifier
1467893347
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GEORGE A. MCCULLY DMD PC
Practice address
622 E 22ND Ave
Suite B
Eugene, OR 97405-2989
Phone
(541) 485-1444
Fax
(541) 485-1445
NPI assigned
Jul 9, 2013
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George Alton McCully, DMDNPI 1689671844
Title
President
Phone
(541) 485-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

622 E 22ND Ave
Suite B
Eugene, OR 97405-2989

Mailing address

622 E 22ND Ave
Suite B
Eugene, OR 97405-2989
Phone (541) 485-1444

National Provider Directory

National Provider Directory

Locations

622 E 22nd Ave
Ste B
Eugene, OR 97405
Phone (541) 485-1444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1467893347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E 22ND AVE",
            "address_2": "SUITE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052989",
            "telephone_number": "541-485-1444",
            "fax_number": "541-485-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E 22ND AVE",
            "address_2": "SUITE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052989",
            "telephone_number": "541-485-1444",
            "fax_number": "541-485-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A. MCCULLY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "MCCULLY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-485-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.