Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DAVID MARK MCCOLLOUGH DMD MS
NPI 1265476188
Dentist - Orthodontics and Dentofacial Orthopedics in Salem, OR

Active since June 15, 2006PECOS Enrolled
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER, SALEM, OR 97305(503) 304-7600(503) 304-7677 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. David Mark Mccollough Dmd Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID MARK MCCOLLOUGH DMD MS (NPI 1265476188) is an individual orthodontics and dentofacial orthopedics provider in Salem, Oregon, licensed in Alabama (4022) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265476188
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. DAVID MARK MCCOLLOUGHCredential: DMD MS
Location Address3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTERSalem, OR 97305-1111
Mailing Address3750 Chemawa Rd NeSalem, OR 97305-1111 · (503) 304-7664 · Fax (503) 304-7677
Fax(503) 304-7677
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1265476188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in AL · 4022
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

3750 CHEMAWA RD NE, Salem, OR 97305

Other Identifiers 1

Medicaid278159OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. David Mark Mccollough Dmd Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER
SALEM, OR 97305
Dentist
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER
SALEM, OR 97305
Family Medicine
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER
SALEM, OR 97305
Counselor (Addiction (Substance Use Disorder))
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER
SALEM, OR 97305
Psychiatry & Neurology (Psychiatry)
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER
SALEM, OR 97305
Social Worker (Clinical)
3750 CHEMAWA RD NE
SALEM, OR 97305
Dentist
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER
SALEM, OR 97305
Dental Hygienist
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER
SALEM, OR 97305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265476188, enumerated as an "individual" on June 15, 2006.

The provider is located at 3750 CHEMAWA RD NE CHEMAWA INDIAN HEALTH CENTER SALEM, OR 97305 and the phone number is (503) 304-7600.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Florida Combined Life, Humana, Renaissance Dental,. Please consult your insurance carrier or call the provider to verify.