Drs. McCullom P.C.
NPI 1972649200ActiveOrganization· Dentist, Periodontics· Chicago, IL
Dentist, Periodontics in Chicago, Illinois, registered in NPPES in January 2007. The authorized official on file is Yetta G. McCullom, DDS, Vp And Cheif Finanical Officer.
Overview
| NPI | 1972649200 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
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 |
|---|
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