# DR. MICHAEL SHAWN MCCORMACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891007225
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | DE61574138 | WA | — |
| 1223G0001X | General Practice Dentistry | 00201972 | CO | — |
| 1223G0001X | General Practice Dentistry | DB-2026-0084 | NM | Yes |
| 1223G0001X | General Practice Dentistry | DD5553 | NM | — |

## Other

- **Enumeration date:** 07/14/2010
- **Last updated:** 06/19/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500624011 | — | OR |
| 05 | — | 78337372 | — | CO |