Provider Demographics
NPI:1093738460
Name:MCLAUGHLIN, TEENA JEFFREYS (DMD)
Entity Type:Individual
Prefix:DR
First Name:TEENA
Middle Name:JEFFREYS
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 1:1906 BRUIN DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-6717
Mailing Address - Country:US
Mailing Address - Phone:256-764-6677
Mailing Address - Fax:256-764-0340
Practice Address - Street 1:1906 BRUIN DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-6717
Practice Address - Country:US
Practice Address - Phone:256-764-6677
Practice Address - Fax:256-764-0340
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL43031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice