Individual
DR. SHAUGHN JOSEPH MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
MSC DENTAL CAMINO DEL SALUD 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 925-7663
(505) 925-4030
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 925-4030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5513
NM
Other
Enumeration date
04/12/2019
Last updated
11/07/2024
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