Provider Demographics
NPI:1780440750
Name:CULLOP, LINDSEY (RDH)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:CULLOP
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4822 ED MCCLAIN RD
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:MD
Mailing Address - Zip Code:21770-9603
Mailing Address - Country:US
Mailing Address - Phone:301-788-1528
Mailing Address - Fax:
Practice Address - Street 1:803 RUSSELL AVE STE 3A
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3584
Practice Address - Country:US
Practice Address - Phone:301-926-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist