Damian Lee Cullom, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN17221 Issued in FL

Practice address

2135 Dr. Martin Luther King Jr. St. N.
St. Petersburg, FL 33704

Phone

(727) 327-7701

Fax

(727) 327-4771

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1891834560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 DOCTOR MARTIN LUTHER KING JR. STREET N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-327-7701",
            "fax_number": "727-327-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 DR. MARTIN LUTHER KING JR. ST. N.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-327-7701",
            "fax_number": "727-327-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLOM",
        "first_name": "DAMIAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yina Mariel Cuevas Quintana, DC
• Kelly Cuffel, ARNP
• Cuisine Belle
• Cynthia Marie Culbreath, M.A.
• Rachel Cullimore, PHARMD
• Brady Culpepper, MD
• Clara Louise Culpepper
• Samuel M Cumby
• Emily Cummings, RD
• Kristin Sumstad Cummings, M.S., CCC/SLP

• Dentist in St. Petersburg, FL
• Providers in St. Petersburg, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.