Individual provider · Type 1 NPI

Shelly L. McColm, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Lawrence, KS

NPI number 1073593992 Active

Practice location

12 W 8th St
Lawrence, KS 66044-2602

Mailing address

5005 Inge Ct
Lawrence, KS 66049-4835

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XKS7061 (KS)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1073593992

Shelly L. McColm, DDS's National Provider Identifier is 1073593992, issued on Jan 18, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lawrence, KS. The record was last updated on Jul 8, 2007.