NPI age
10 years
Enumerated 2015-08-10
● Active Type 2 · Organization
Dr. Daniel R Cullum PA
Dr. Daniel R Cullum PA is 1 of 64 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cullum
President
Last NPPES update
2015-08-10
Source: monthly bulk 2026-05
How this organization compares
Across 64 active dentist providers in Idaho.
NPI age
10 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-08Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1859 N Lakewood Dr, Ste 101
Coeur D Alene, ID 838142661
Mailing address
1859 N Lakewood Dr, Ste 101
Coeur D Alene, ID 838142661
Authorized official
Daniel Cullum, DDS
President
📞 2086675565
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Daniel Cullum, DDS Dentist NPI 1689744831
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | D-3149-OS | STATE LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Implants Northwest
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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