Provider Demographics
NPI:1114076387
Name:MCLAUGHLIN, BRIDGET A (DMD)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:A
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 1:23 S WASHINGTON AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-2303
Mailing Address - Country:US
Mailing Address - Phone:609-822-0911
Mailing Address - Fax:609-822-5967
Practice Address - Street 1:23 S WASHINGTON AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:MARGATE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08402-2303
Practice Address - Country:US
Practice Address - Phone:609-822-0911
Practice Address - Fax:609-822-5967
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 170721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice