Individual
DR. JOHN B MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
110 S. IDAHO STREET, DILLON, MT 59725
(406) 683-5125
(406) 683-5126
Mailing address
P.O. BOX 1255, 110 S., DILLON, MT 59725
(406) 683-5125
(406) 683-5126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1108
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132587
—
MT
Enumeration date
10/24/2013
Last updated
10/24/2013
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