John B Mccollum DDS PC

NPI #1154460574 in Dillon, Montana

Provider Information

NPI Number: 1154460574
Entity Type: Organization
Organization Name: John B Mccollum DDS PC
Primary Specialty: Dentist
Enumeration Date: Feb 5, 2007
Last Updated: Aug 27, 2013

Practice Location

Address: 110 SOUTH IDAHO STREET
Address 2: STATE BANK BUILDING
City: Dillon
State: Montana
ZIP Code: 59725
Phone: (406) 683-5125

Authorized Official

Name: DR. JOHN B MCCOLLUM, DDS
Title: PRESIDENT
Phone: (406) 683-5125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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