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DRS. MCCULLOM P.C.
NPI 1972649200
Dentist - Periodontics in Chicago, IL

Active since January 30, 2007
820 E 87TH ST, SUITE 201, CHICAGO, IL 60619(773) 488-3738(773) 874-6575 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Drs. Mccullom P.c. NPPES

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

DRS. MCCULLOM P.C. (NPI 1972649200) is a healthcare organization registered as a periodontics in Chicago, Illinois and active in the NPI registry since January 2007. The organization lists Yetta G Mccullom, Vp And Cheif Finanical Officer, as its authorized official.

NPPES Registry Identity

NPI1972649200
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDRS. MCCULLOM P.C.
Location Address820 E 87TH ST, SUITE 201Chicago, IL 60619-6253
Mailing Address820 E 87th St, Suite 201Chicago, IL 60619-6253 · (773) 488-3738 · Fax (773) 874-6575
Phone(773) 488-3738
Fax(773) 874-6575
Organization SubpartNo
Authorized OfficialYetta G MccullomVp And Cheif Finanical Officer · (773) 488-3738
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1972649200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

YETTA G MCCULLOM DDS, MA
Dentist (Periodontics)
820 E 87TH ST, STE 201
CHICAGO, IL 60619
Cook County (773) 488-3738
DR. CORNELL MCCULLOM III D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
820 E 87TH ST, STE. 201
CHICAGO, IL 60619
Cook County (773) 488-3738
ROBIN L. FERGUSON DDS PC
Dentist (General Practice)
820 E 87TH ST, SUITE 201
CHICAGO, IL 60619
Cook County (773) 488-9075
ROBIN L FERGUSON DDS
Dentist
820 E 87TH ST, STE 201
CHICAGO, IL 60619
Cook County (773) 488-9075

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 Drs. Mccullom P.C.'s NPI number?

The NPI number for Drs. Mccullom P.C. is 1972649200. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Drs. Mccullom P.C. located?

Drs. Mccullom P.C. is located at 820 E 87th St Suite 201, Chicago, IL 60619. The listed phone number is (773) 488-3738.

What is Drs. Mccullom P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Drs. Mccullom P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.