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

Dr. Cornell McCullom III, DDS, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1619124807

Dr. Cornell McCullom III, DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

820 E 87th St Ste 201
Chicago, IL 60619-6253
Phone: (773) 488-3738
Fax: (773) 874-6575
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 021001488 (IL)

Record details

NPI number1619124807
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedAugust 19, 2008
Last updated in NPPESAugust 19, 2008
Mailing address820 E 87th St, Ste. 201, Chicago, IL 60619-6253

Other providers in Chicago