Provider Demographics
NPI:1457016081
Name:MCCORD, MCCALL ANNE (DDS)
Entity Type:Individual
Prefix:
First Name:MCCALL
Middle Name:ANNE
Last Name:MCCORD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MCCALL
Other - Middle Name:ANNE
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:373 E 600 N
Mailing Address - Street 2:
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042-1665
Mailing Address - Country:US
Mailing Address - Phone:801-822-9757
Mailing Address - Fax:
Practice Address - Street 1:1593 N REDWOOD RD STE 1
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-3919
Practice Address - Country:US
Practice Address - Phone:801-901-8467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1244751699221223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics