Provider Demographics
NPI:1477897734
Name:MCLAUGHLIN, JAMES BRYAN (DMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRYAN
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 OLD HICKORY BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4242
Mailing Address - Country:US
Mailing Address - Phone:615-690-5400
Mailing Address - Fax:615-690-5404
Practice Address - Street 1:1177 OLD HICKORY BLVD STE 203
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4244
Practice Address - Country:US
Practice Address - Phone:615-991-1394
Practice Address - Fax:615-535-9992
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8145122300000X, 1223P0700X
TN10980122300000X
TX327131223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist