Provider Demographics
NPI:1033271309
Name:MCLAUGHLIN, ROXANNE SERKAIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROXANNE
Middle Name:SERKAIAN
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 N LILEY
Mailing Address - Street 2:SUITE #D
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187
Mailing Address - Country:US
Mailing Address - Phone:734-981-4909
Mailing Address - Fax:734-981-6140
Practice Address - Street 1:5730 N LILEY
Practice Address - Street 2:SUITE #D
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187
Practice Address - Country:US
Practice Address - Phone:734-981-4909
Practice Address - Fax:734-981-6140
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010167341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice