Provider Demographics
NPI:1346434545
Name:ORTHODONTICS BY DESIGN, P.C.
Entity Type:Organization
Organization Name:ORTHODONTICS BY DESIGN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-245-1113
Mailing Address - Street 1:1 W WATER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-2907
Mailing Address - Country:US
Mailing Address - Phone:781-245-1113
Mailing Address - Fax:781-246-8441
Practice Address - Street 1:1 W WATER ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-2907
Practice Address - Country:US
Practice Address - Phone:781-245-1113
Practice Address - Fax:781-246-8441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty