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Organization
JOHN B MCCOLLUM DDS PC
Active
Organization
JOHN B MCCOLLUM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B MCCOLLUM DDS (PRESIDENT)
(406) 683-5125
Entity
Organization
Contact information
Practice address
110 SOUTH IDAHO STREET, STATE BANK BUILDING, DILLON, MT 59725
(406) 683-5125
(406) 683-5126
Mailing address
PO BOX 1255, DILLON, MT 59725-1255
(406) 683-5125
(406) 683-5126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1108
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132587
—
MT
Enumeration date
02/05/2007
Last updated
08/27/2013
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