Healthcare Provider Details

I. General information

NPI: 1285540468
Provider Name (Legal Business Name): DRAKE M MCLAUGHLIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4087 S CENTER RD STE 1
BURTON MI
48519-1466
US

IV. Provider business mailing address

8340 RUSTIC TRL
LINDEN MI
48451-9752
US

V. Phone/Fax

Practice location:
  • Phone: 810-744-1324
  • Fax:
Mailing address:
  • Phone: 810-618-3133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901603016
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: