Provider Demographics
NPI:1760869762
Name:DR. CAREY B. MCLAUGHLIN DDS, INC.
Entity Type:Organization
Organization Name:DR. CAREY B. MCLAUGHLIN DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:BRION
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:765-644-8532
Mailing Address - Street 1:3317 NICHOL AVE
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46011-3001
Mailing Address - Country:US
Mailing Address - Phone:765-644-8532
Mailing Address - Fax:765-644-0464
Practice Address - Street 1:3317 NICHOL AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-3001
Practice Address - Country:US
Practice Address - Phone:765-644-8532
Practice Address - Fax:765-644-0464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007634A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty