Provider Demographics
NPI:1407159312
Name:MCW DENTISTRY
Entity Type:Organization
Organization Name:MCW DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:803-980-7645
Mailing Address - Street 1:744 ARDEN LN
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3286
Mailing Address - Country:US
Mailing Address - Phone:803-980-7645
Mailing Address - Fax:803-980-7655
Practice Address - Street 1:744 ARDEN LN
Practice Address - Street 2:SUITE 150
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3286
Practice Address - Country:US
Practice Address - Phone:803-980-7645
Practice Address - Fax:803-980-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC39301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty