Provider Demographics
NPI:1912097163
Name:MCCULLOUGH, DENNIS EDWARD (VMD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:EDWARD
Last Name:MCCULLOUGH
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WAYNESBORO VETERINARY CLINIC
Mailing Address - Street 2:11420 ANTHONY HIGHWAY
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-9232
Mailing Address - Country:US
Mailing Address - Phone:717-762-0221
Mailing Address - Fax:717-762-4208
Practice Address - Street 1:WAYNESBORO VETERINARY CLINIC
Practice Address - Street 2:11420 ANTHONY HIGHWAY
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-9232
Practice Address - Country:US
Practice Address - Phone:717-762-0221
Practice Address - Fax:717-762-4208
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABV004484L174MM1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174MM1900XOther Service ProvidersVeterinarianMedical Research