NPI 1265476188 · live from the CMS NPI Registry
David Mark Mccollough, DMD MS
Dentist, Orthodontics and Dentofacial Orthopedics in Salem, OR. National Provider Identifier 1265476188, active.
NPI record
| NPI | 1265476188 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305 |
| Practice phone | 503-304-7600 |
| Mailing address | 3750 Chemawa Rd Ne, Salem, OR 97305 |
| Enumerated | June 15, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 4022 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.