Individual ProviderTami McculloughDental HygienistDental ProvidersPractice AddressUs Army Dental Activity Bavaria, Unit 28038, Apo, AE 09112011499662834738PECOS EnrollmentBased on the most recent information from CMS, provider Tami Mccullough does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1487052759Provider TypeIndividualFull NameMccullough, TamiGenderFemaleSole ProprietorNoEnumeration Date12/18/2014Last Updated12/18/2014Contact InformationPractice LocationPractice AddressUs Army Dental Activity Bavaria, Unit 28038, Apo, AE 09112Phone011499662834738FaxUnlisted FaxMailing LocationMailing AddressUs Army Dental Activity Bavaria, Unit 28038, Apo, AE 09112Phone011499662834738FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode124Q00000XPrimaryDescriptionDental HygienistDental ProvidersLicenseDH22990Florida