Individual
DR. ZACHARY SCOTT MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
210 N MAIN ST, DE FOREST, WI 53532-1163
(608) 846-3948
(608) 846-7526
Mailing address
210 N MAIN ST, DE FOREST, WI 53532-1163
(608) 846-3948
(608) 846-7526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
631515
WI
1223G0001X
General Practice Dentistry
6315
WI
Other
Enumeration date
07/16/2007
Last updated
05/26/2015
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