# JOHN B MCCOLLUM DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154460574
- **Authorized official:** DR. JOHN B MCCOLLUM DDS (PRESIDENT)
- **Authorized official phone:** (406) 683-5125

## Contact information

- **Practice address:** 110 SOUTH IDAHO STREET, STATE BANK BUILDING, DILLON, MT 59725
- **Practice address phone:** (406) 683-5125
- **Practice address fax:** (406) 683-5126
- **Mailing address:** PO BOX 1255, DILLON, MT 59725-1255
- **Mailing address phone:** (406) 683-5125
- **Mailing address fax:** (406) 683-5126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1108 | MT | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0132587 | — | MT |