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General NPI Number Information
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NPI Number | 1265421168
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Entity Type | Individual
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Provider Name | JAMES KT CULLEN DMD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 8899 TIMBERWILDE DR STE 3
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-7896
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Country | US
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Telephone | 239-498-7668
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Fax | 239-498-7630
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Provider Business Mailing Address
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Address Line | 8899 TIMBERWILDE DR STE 3
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-7896
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Country | US
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Telephone | 239-498-7668
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Fax | 239-498-7630
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN28896
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS036172
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License Number State | PA
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