John B McCollum DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

1108 Issued in MT

Legal business name

JOHN B MCCOLLUM DDS PC

Practice address

110 South Idaho Street
State Bank Building
Dillon, MT 59725

Phone

(406) 683-5125

Fax

(406) 683-5126

NPI assigned

Feb 5, 2007

Organization subpart

No

Name

Dr. John B McCollum, DDS

Title

President

Phone

(406) 683-5125

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2013.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1154460574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1255",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597251255",
            "telephone_number": "406-683-5125",
            "fax_number": "406-683-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH IDAHO STREET",
            "address_2": "STATE BANK BUILDING",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "59725",
            "telephone_number": "406-683-5125",
            "fax_number": "406-683-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B MCCOLLUM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-683-5125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MT",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132587",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dillon, MT
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.