Provider Demographics
NPI:1073697207
Name:MCLAUGHLIN, LAURA J (DMD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1342 EBENEZER ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732
Mailing Address - Country:US
Mailing Address - Phone:803-980-7645
Mailing Address - Fax:803-980-7655
Practice Address - Street 1:1342 EBENEZER RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2337
Practice Address - Country:US
Practice Address - Phone:803-980-7645
Practice Address - Fax:803-980-7655
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC39301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice