Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL SHAWN MCCORMACK, D.D.S.
ActiveDental Public Health · SPOKANE VALLEY, WA
Registration Details
- NPI Number
- 1891007225
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2010 (15.771768570777 yrs)
- Last Updated
- Sep 5, 2025
- Licenses
-
DD5553 (NM)00201972 (CO)DE61574138 (WA)
Practice Information
- Address
-
1502 N VERCLER RDSPOKANE VALLEY, WA, 992161078Browse WA providers · Browse ZIP 99216
- Phone
- 5094448200
- Fax
- 5094340392
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Dental Public Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.