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DR. ROBERT LYLE MCCULLOUGH DMD
NPI 1164926788
Dentist - General Practice in Tigard, OR

Active since March 20, 2018
11820 SW KING JAMES PL STE 20, TIGARD, OR 97224(503) 968-2901(503) 406-4988 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2019, Mar 20, 2018 (2 updates tracked since 2018).

About Dr. Robert Lyle Mccullough Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT LYLE MCCULLOUGH DMD (NPI 1164926788) is an individual general practice provider in Tigard, Oregon, licensed in Oregon (D11114) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1164926788
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROBERT LYLE MCCULLOUGHCredential: DMD
Location Address11820 SW KING JAMES PL STE 20Tigard, OR 97224-2481
Mailing Address27440 Sw Vanderschuere RdHillsboro, OR 97123-9439 · (503) 964-8909
Phone(503) 968-2901
Fax(503) 406-4988
Sole ProprietorYes
Enumeration DateMarch 20, 2018
Last NPPES UpdateSeptember 10, 20192 updates tracked since enumeration
✔ NPI 1164926788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D11114
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11820 SW KING JAMES PL STE 20, Tigard, OR 97224
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIGARD FAMILY DENTAL, PC
Dentist (General Practice)
11820 SW KING JAMES PL STE 20
TIGARD, OR 97224
Washington County (503) 620-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Mccullough's NPI number?

The NPI number for Robert Mccullough is 1164926788. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Robert Mccullough located?

Robert Mccullough practices at 11820 SW King James Pl Ste 20, Tigard, OR 97224. The listed phone number is (503) 968-2901.

What is Robert Mccullough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Robert Mccullough accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Robert Mccullough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Mccullough was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.