Judith Mccollum is a Periodontics in Portland, Maine. Judith Mccollum practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Judith Mccollum is 1760697932. The last update date is 2007-07-08.
Judith Mccollum's current location address is 716 Stevens Ave, Portland, Maine. You can contact this provider via phone number 2072214214. The mailing address for Judith Mccollum is 716 Stevens Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Judith Mccollum |
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Address | 716 Stevens Ave, Portland, Maine |
Phone Number | 2072214214 |
Fax Number | |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1760697932 |
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Provider Enumeration Date | 2007-05-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 716 Stevens Ave |
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City | Portland |
State | Maine (ME) |
Post Code | 41032670 |
Phone Number | 2072214214 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 2864 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
Post Comment/ Review Below
What is the unique provider identifier assigned to Judith Mccollum?
The Judith Mccollum has been issued the NPI (National Provider Identifier) 1760697932 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Judith Mccollum's facilities are situated?
The facilities of Judith Mccollum are physically located at the following address: 716 Stevens Ave, Portland, ME, 41032670.
What is Judith Mccollum's area of expertise and its corresponding taxonomy classification?
The Judith Mccollum's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did Judith Mccollum receive its 1760697932 assignment from the Centers for Medicare & Medicaid Services?
The Judith Mccollum was assigned its 1760697932 on 2007-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Judith Mccollum most recently updated or revised?
The details related to Judith Mccollum, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.