Provider Demographics
NPI:1942645114
Name:CULLEN, DANIELLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:CULLEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:MISKULIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:WI
Mailing Address - Zip Code:54165-8404
Mailing Address - Country:US
Mailing Address - Phone:920-833-2215
Mailing Address - Fax:
Practice Address - Street 1:25 BUTTRICK RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3352
Practice Address - Country:US
Practice Address - Phone:603-965-3407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2021-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04256122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist