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NPI Code Detail

MEDICARE: DR. ERIC MCCUTCHEON DDS

MEDICARE:  DR. ERIC  MCCUTCHEON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2901018898MI

General Provider Information

NPI Number : 1295827020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC MCCUTCHEON DDS
Provider Business Mailing Address
First Line : 22646 E 9 MILE RD
Second Line : STE. B
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-1951
Country : US
Telephone Number : 586-778-4151
Fax Number : 586-778-3291
Provider Business Practice Location Address
First Line : 22646 E 9 MILE RD
Second Line : STE. B
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-1951
Country : US
Telephone Number : 586-778-4151
Fax Number : 586-778-3291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 04/13/2016

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Directions to “ DR. ERIC MCCUTCHEON DDS” Practice Location

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