Provider Demographics
NPI:1760881569
Name:MCLAUGHLIN, SALLY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SALLY
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SALLY
Other - Middle Name:
Other - Last Name:TURRENTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4250 HIGHWAY 202
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-8997
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4250 HIGHWAY 202
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-8997
Practice Address - Country:US
Practice Address - Phone:361-358-9890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16859122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist