1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Dentist
  6. NPI Profile

WILLIE MCLULLUM DDS - CHILDREN'S DENTISTRY
NPI 1407166655
Dentist - General Practice in Tacoma, WA

Active since October 20, 2010
4002 SOUTH M STREET, SUITE A, TACOMA, WA 98418(253) 474-0606 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willie Mclullum Dds - Children's Dentistry NPPES

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

WILLIE MCLULLUM DDS - CHILDREN'S DENTISTRY (NPI 1407166655) is a healthcare organization registered as a general practice in Tacoma, Washington and active in the NPI registry since October 2010. The organization lists Willie James Mccullum, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1407166655
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWJM DENTAL INC
Location Address4002 SOUTH M STREET, SUITE ATacoma, WA 98418
Mailing Address4002 South M Street, Suite ATacoma, WA 98418 · (253) 474-0606
Phone(253) 474-0606
Organization SubpartNo
Authorized OfficialWillie James MccullumDentist/owner · (253) 474-0606
Enumeration DateOctober 20, 2010
Last NPPES UpdateDecember 18, 2012
✔ NPI 1407166655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 6326
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.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 8920 (WA)
4002 SOUTH M STREET, Tacoma, WA 98418
Open in Google Maps ↗

Other Names 1

Other NameWillie Mclullum Dds - Children's Dentistry

Other Identifiers 1

Medicaid5050273WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Wjm Dental Inc's NPI number?

The NPI number for Wjm Dental Inc is 1407166655. It was assigned to this organization in the NPPES registry on October 20, 2010. The provider is also known as Willie Mclullum Dds - Children's Dentistry.

Where is Wjm Dental Inc located?

Wjm Dental Inc is located at 4002 South M Street Suite A, Tacoma, WA 98418. The listed phone number is (253) 474-0606.

What is Wjm Dental Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Wjm Dental Inc was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.