Active NPI
Cottrell and McCullough Dental PLLC
- Dentist
- Queensbury, NY
National Provider Identifier
1891357067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- COTTRELL AND MCCULLOUGH DENTAL PLLC
- Practice address
- 36 Homer Ave
Queensbury, NY 12804-2009 - Phone
- (518) 793-1345
- NPI assigned
- Jul 8, 2019
- Organization subpart
- Yes
- Parent organization
- COTTRELL AND MCCULLOUGH DENTAL PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carly McCullough, DDS
- Title
- Dentist/President
- Phone
- (518) 793-1345
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
36 Homer Ave
Queensbury, NY 12804-2009
Mailing address
36 Homer Ave
Queensbury, NY 12804-2009
Phone (518) 793-1345
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@cottrelldental.com |
National Provider Directory
National Provider Directory- Part of
- Cottrell and McCullough Dental PLLC
Locations
36 Homer Ave
Queensbury, NY 12804
Phone (518) 793-1345
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Dentist
- Queensbury, NY
- NPI 1154737526
-
- Dentist
- Queensbury, NY
- NPI 1154663060
-
- General Practice Dentistry
- Queensbury, NY
- NPI 1851479570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562544000000",
"number": "1891357067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 HOMER AVE",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128042009",
"telephone_number": "518-793-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 HOMER AVE",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128042009",
"telephone_number": "518-793-1345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COTTRELL AND MCCULLOUGH DENTAL PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COTTRELL AND MCCULLOUGH DENTAL PLLC",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A",
"authorized_official_last_name": "MCCULLOUGH",
"authorized_official_first_name": "CARLY",
"authorized_official_title_or_position": "DENTIST/PRESIDENT",
"authorized_official_telephone_number": "518-793-1345",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@cottrelldental.com",
"affiliation": "N",
"address_1": "36 Homer Ave",
"city": "Queensbury",
"state": "NY",
"country_code": "US",
"postal_code": "128042009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.