Dental Dream Team Associates LLC Yetta McCullom Sole Mbr
NPI 1972145183ActiveOrganization· Dentist, Periodontics· Chicago, IL
Dentist, Periodontics in Chicago, Illinois, registered in NPPES in October 2019. The authorized official on file is Yetta G. McCullom, DDS, Manager Sole Member.
Overview
| NPI | 1972145183 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2019 |
| Last updated in NPPES | Oct 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, Periodontics providers in Chicago
- 1417223470
- 1205109188
- 1861713919
- 1972649200
- 1710233077
- 1780538504
- 1982976643
- 1124674106
- 1174633275
- 1669699880
- 1942793815
- 1508355678