NPI 1891007225
Michael Shawn McCormack, DDS
Practice location
- Address
- 2573 State Highway 522, Questa, NM 87556-0290
- Phone
- (575) 586-0315
- Fax
- (505) 443-8353
Registered specialties (3)
General Practice Dentistry
Primary
General Practice Dentistry
Public Health Dentistry
Registry record
- NPI
- 1891007225
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Jul 2010
- Record last updated
- 19 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.