Individual provider · Type 1 NPI

Judith McCollum, DMD

Periodontics · Portland, ME

NPI number 1760697932 Active

Practice location

716 Stevens Ave
Portland, ME 04103-2670

Call (207) 221-4214 Map

Mailing address

28 Tamarack Dr.
Brunswick, ME 04011

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X2864 (ME)

Periodontics: 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 structures and tissues.

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About NPI 1760697932

Judith McCollum, DMD's National Provider Identifier is 1760697932, issued on May 11, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.