Provider Demographics
NPI:1174721609
Name:MCLAUGHLIN, ERIN MARIE (DDS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10635 HICKORY DR
Mailing Address - Street 2:#5
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-6262
Mailing Address - Country:US
Mailing Address - Phone:515-491-4038
Mailing Address - Fax:
Practice Address - Street 1:12119 STRATFORD DR
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8166
Practice Address - Country:US
Practice Address - Phone:515-440-7003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA084831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice