Thomas C. McCulloch, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THOMAS C. MCCULLOCH, DDS

Doing business as

Clear Lake Dental Center

Practice address

11 Professional Park Dr
Webster, TX 77598-4123

Phone

(281) 332-7010

Fax

(281) 332-7212

NPI assigned

Oct 15, 2020

Organization subpart

No

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

Authorized official

Name

Kelly L Brown, RDH

Title

Dental Hygienist

Phone

(281) 332-7010

Specialties & licenses 1

Addresses

Other names 1

• Clear Lake Dental Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Rey Munoz, DDS

  • General Practice Dentistry
  • Webster, TX
  • NPI 1407426844
  NPD
• Jerrod Ryan Odette, DDS

  • Dentist
  • Tyler, TX
  • NPI 1396351466
  NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1982202537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57220",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987220",
            "telephone_number": "281-332-7010",
            "fax_number": "281-332-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984123",
            "telephone_number": "281-332-7010",
            "fax_number": "281-332-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. MCCULLOCH, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "281-332-7010",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Lake Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Well Texas LLC
• Therapeutic Solutions, Inc.
• Richmond Sully Thibodeaux, C.R.N.A.
• Jessica Thielemann
• Monica Thint, M.D.
• Thomas F. Rowe,M.D.,P.a.
• Beena M Thomas
• Claudia V Thomas, D.D.S
• Jaya Philip Thomas, AGACNP
• Jisha Thomas, NP

• Dental Clinic/Center in Webster, TX
• Providers in Webster, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.