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Contact Information

JOHN B MCCOLLUM DDS PC
110 SOUTH IDAHO STREET
STATE BANK BUILDING
DILLON, MT59725
 Phone: 406-683-5125
 Fax: 406-683-5126
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOHN B MCCOLLUM DDS PC

NPI # 1154460574
LBN Legal business name JOHN B MCCOLLUM DDS PC
Authorized official JOHN MCCOLLUM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 08/27/2013 - About 13 years ago
Identifiers
MT License # 1108
MT Medicaid 0132587
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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