Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Daniel R Cullum PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1386020550

Dr Daniel R Cullum PA is an Oral and Maxillofacial Surgery (Dentist) in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1859 N Lakewood Dr Ste 101
Coeur D Alene, ID 83814-2661
Phone: (208) 667-5565
Fax: (208) 765-9633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D-3149-OS (ID)

Record details

NPI number1386020550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Cullum — President · (208) 667-5565
Other names Implants Northwest
NPI enumeratedAugust 10, 2015
Last updated in NPPESAugust 10, 2015
Mailing address1859 N Lakewood Dr, Ste 101, Coeur D Alene, ID 83814-2661

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