Provider Demographics
| NPI: | 1871636126 |
|---|---|
| Name: | ROBERT R CULP DDS INC |
| Entity type: | Organization |
| Organization Name: | ROBERT R CULP DDS INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | ROBERT |
| Authorized Official - Middle Name: | ARTHUR |
| Authorized Official - Last Name: | CULP |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DDS |
| Authorized Official - Phone: | 915-598-0281 |
| Mailing Address - Street 1: | 3379 WEDGEWOOD DR |
| Mailing Address - Street 2: | SUITE 3 |
| Mailing Address - City: | EL PASO |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 79925 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 915-598-0281 |
| Mailing Address - Fax: | 915-598-7971 |
| Practice Address - Street 1: | 3379 WEDGEWOOD DR |
| Practice Address - Street 2: | SUITE 3 |
| Practice Address - City: | EL PASO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 79925 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 915-598-0281 |
| Practice Address - Fax: | 915-598-7971 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-02-15 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | 7665 | 1223G0001X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 1223G0001X | Dental Providers | Dentist | General Practice | Group - Single Specialty |