DENTAL DREAM TEAM ASSOCIATES LLC YETTA MCCULLOM SOLE MBR
NPI 1972145183
Dentist - Periodontics in Chicago, IL

Active since October 09, 2019
820 E 87TH ST STE 201, CHICAGO, IL 60619(773) 488-9072(888) 506-5697 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dental Dream Team Associates Llc Yetta Mccullom Sole Mbr NPPES

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

DENTAL DREAM TEAM ASSOCIATES LLC YETTA MCCULLOM SOLE MBR (NPI 1972145183) is a healthcare organization registered as a periodontics in Chicago, Illinois and active in the NPI registry since October 2019. The organization lists Yetta G Mccullom, Manager Sole Member, as its authorized official.

NPPES Registry Identity

NPI1972145183
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDENTAL DREAM TEAM ASSOCIATES LLC YETTA MCCULLOM SOLE MBR
Location Address820 E 87TH ST STE 201Chicago, IL 60619-6256
Mailing Address820 E 87th St Ste 201Chicago, IL 60619-6256 · (773) 488-9072 · Fax (888) 506-5697
Fax(888) 506-5697
Organization SubpartNo
Authorized OfficialYetta G MccullomManager Sole Member · (773) 488-9072
Enumeration DateOctober 9, 2019
NPI 1972145183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

820 E 87TH ST STE 201, Chicago, IL 60619

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
820 E 87TH ST STE 201
CHICAGO, IL 60619
Clinic/Center (Dental)
820 E 87TH ST STE 201
CHICAGO, IL 60619
Dentist (General Practice)
820 E 87TH ST STE 201
CHICAGO, IL 60619

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 Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr's NPI number?

The NPI number for Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr is 1972145183. It was assigned to this organization in the NPPES registry on October 9, 2019.

Where is Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr located?

Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr is located at 820 E 87th St Ste 201, Chicago, IL 60619. The listed phone number is (773) 488-9072.

What is Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr accept?

Health plans from UnitedHealthcare list Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr 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 Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr was last updated on October 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.