MATTHEW J MCCULLOUGH, DMD, 3 LLC
NPI 1295624948
Clinic/Center - Dental in East Alton, IL

Q: What is Matthew J Mccullough, Dmd, 3 LLC's NPI number?

The NPI number for Matthew J Mccullough, Dmd, 3 LLC is 1295624948. It was assigned to this organization in the NPPES registry on June 30, 2025. The provider is doing business as Great River Dental-East Alton.

Q: What is Matthew J Mccullough, Dmd, 3 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since June 30, 2025

96 S 9TH ST, EAST ALTON, IL 62024(618) 259-1400 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Matthew J Mccullough, Dmd, 3 Llc NPPES

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

MATTHEW J MCCULLOUGH, DMD, 3 LLC (NPI 1295624948), doing business as Great River Dental-east Alton, is a healthcare organization registered as a dental in East Alton, Illinois and active in the NPI registry since June 2025. The organization lists Matthew Mccullough, President, as its authorized official.

NPPES Registry Identity

NPI1295624948

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameMATTHEW J MCCULLOUGH, DMD, 3 LLC

Location Address96 S 9TH STEast Alton, IL 62024-1715

Mailing Address96 S 9th StEast Alton, IL 62024-1715

Phone(618) 259-1400

Organization SubpartNo

Authorized OfficialMatthew McculloughPresident · (618) 339-7248

Enumeration DateJune 30, 2025

NPPES CertifiedJune 29, 2025

✔ NPI 1295624948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

96 S 9TH ST, East Alton, IL 62024

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Other Names 1

Doing Business AsGreat River Dental-east Alton

Other Providers at the Same Location NPPES

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

DR. KYLE BLAKE HAGEN D.M.D

Dentist (General Practice)

96 S 9TH ST
EAST ALTON, IL 62024

Madison County (618) 259-1400

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 Matthew J Mccullough, Dmd, 3 LLC's NPI number?

The NPI number for Matthew J Mccullough, Dmd, 3 LLC is 1295624948. It was assigned to this organization in the NPPES registry on June 30, 2025. The provider is doing business as Great River Dental-East Alton.

Where is Matthew J Mccullough, Dmd, 3 LLC located?

Matthew J Mccullough, Dmd, 3 LLC is located at 96 S 9th St, East Alton, IL 62024. The listed phone number is (618) 259-1400.

What is Matthew J Mccullough, Dmd, 3 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Matthew J Mccullough, Dmd, 3 LLC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.