Provider Demographics
NPI:1215098744
Name:CULVER, PAUL GEORGE (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:GEORGE
Last Name:CULVER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20742 W WESTERN DR
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-8371
Mailing Address - Country:US
Mailing Address - Phone:480-702-8650
Mailing Address - Fax:
Practice Address - Street 1:20742 W WESTERN DR
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-8371
Practice Address - Country:US
Practice Address - Phone:480-702-8650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0002961122300000X
AZD010610122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist