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Organization
MCCOLLUM DENTAL LLC
Active
Organization
MCCOLLUM DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MCCOLLUM DMD (OWNER)
(770) 922-7900
Entity
Organization
Contact information
Practice address
1498 KLONDIKE RD SW STE 201, CONYERS, GA 30094-5169
(770) 922-7900
Mailing address
1498 KLONDIKE RD SW STE 201, CONYERS, GA 30094-5169
(770) 922-7900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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