Brian Stuart Cullen, D.M.D.
Individual provider Active NPI General Practice Dentistry · Edgartown, MA
NPI 1679625255 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679625255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 13440 (MA)
- Practice address
- 258 Edgartown Rd.
Unit 2
Edgartown, MA 02539 - Phone
- (508) 627-6464
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13440 | MA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13440 | MA | Yes |
Addresses
Primary practice location
258 Edgartown Rd.
Unit 2
Edgartown, MA 02539
Mailing address
PO Box 1845
Edgartown, MA 02539-1845
Phone (508) 627-6464
Other providers in Edgartown, MA
- Dina Bendavid
- Kristen Braga
- Zhenxing Chen
- George Louis Cohn
- Thomas Matthew Coye
- Christopher Ryan Delprete
- Jenna A Delsapio
- Marcia L Denine
- Michael Ditchfield
- Dukes County Sheriff'S Office
All providers in Edgartown, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.