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Individual
DR. MICHAEL SHAWN MCCORMACK
Active
Individual
DR. MICHAEL SHAWN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DE61574138
WA
1223G0001X
General Practice Dentistry
00201972
CO
1223G0001X
General Practice Dentistry
Primary
DB-2026-0084
NM
1223G0001X
General Practice Dentistry
DD5553
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500624011
—
OR
05
—
78337372
—
CO
Enumeration date
07/14/2010
Last updated
06/19/2026
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