Provider Demographics
NPI:1871621938
Name:CULLEN, VEASEY B JR (DMD)
Entity type:Individual
Prefix:DR
First Name:VEASEY
Middle Name:B
Last Name:CULLEN
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 EASTERN BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2818
Mailing Address - Country:US
Mailing Address - Phone:717-755-1200
Mailing Address - Fax:717-755-0506
Practice Address - Street 1:2300 EASTERN BOULEVARD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2818
Practice Address - Country:US
Practice Address - Phone:717-755-1200
Practice Address - Fax:717-755-0506
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017536L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist