Shelly L. Mccolm in Lawrence - Orthodontics And Dentofacial Orthopedics
Shelly L. Mccolm - NPI 1073593992
Shelly L. Mccolm is a Orthodontics And Dentofacial Orthopedics in Lawrence, Kansas. Shelly L. Mccolm practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Shelly L. Mccolm is 1073593992. The last update date is 2007-07-08.
Shelly L. Mccolm's current location address is 5005 Inge Ct, Lawrence, Kansas. You can contact this provider via phone number 7858321782. The mailing address for Shelly L. Mccolm is 5005 Inge Ct, Lawrence, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly L. Mccolm |
|---|---|
| Address | 5005 Inge Ct, Lawrence, Kansas |
| Phone Number | 7858321782 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1073593992 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5005 Inge Ct |
|---|---|
| City | Lawrence |
| State | Kansas (KS) |
| Post Code | 660494835 |
| Phone Number | 7858321782 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | KS7061 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KS7061 | KS | 7061 |
Post Comment/ Review Below
What is the unique identifier code issued to Shelly L. Mccolm by the Centers for Medicare & Medicaid Services (CMS)?
The Shelly L. Mccolm has been assigned the NPI (National Provider Identifier) 1073593992. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Shelly L. Mccolm's physical address?
The Shelly L. Mccolm is physically located at 5005 Inge Ct, in the city of Lawrence, KS, with the postal code 660494835.
What is Shelly L. Mccolm's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shelly L. Mccolm's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Shelly L. Mccolm receive the assignment of its 1073593992 from the Centers for Medicare & Medicaid Services?
The Shelly L. Mccolm was issued its 1073593992 by the Centers for Medicare & Medicaid Services on 2006-01-18.
When was the Shelly L. Mccolm's information last updated?
The Shelly L. Mccolm's information was last updated on 2007-07-08.