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

Yetta G McCullom, DDS, MA

Individual provider Periodontics · NPI 1285884791

Yetta G McCullom, DDS, MA is a Periodontics 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.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

820 E 87th St Ste 201
Chicago, IL 60619-6253
Phone: (773) 488-3738
Fax: (773) 874-6575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 021001516 (IL)

Record details

NPI number1285884791
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS , MA
Sole proprietorNo
NPI enumeratedSeptember 22, 2008
Last updated in NPPESSeptember 23, 2008
Mailing address820 E 87th St, Ste 201, Chicago, IL 60619-6253

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