Mccollum, Judith

Mccollum, Judith is an individual health care provider with primary practice located at 716 Stevens Ave , Portland ME 04103-2670. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Mccollum, Judith can be contacted via phone (207) 221-4214.

Contact Information

Primary practice address
716 Stevens Ave Portland ME 04103-2670
Phone: (207) 221-4214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2864 Maine

Profile Details

NPI number 1760697932
LBN Legal business name Mccollum, Judith
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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