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NPI Code Detail

MEDICARE: DONALD R MCLAURIN DDS, MD

MEDICARE:   DONALD R MCLAURIN  DDS, MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)7960KY
2204E00000XOral & Maxillofacial Surgery (D.M.D.)7960KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265518187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD R MCLAURIN DDS, MD
Provider Business Mailing Address
First Line : 25 E HIGH ST
Second Line :
City : MT STERLING
State : KY
Zip : 40353-1267
Country : US
Telephone Number : 859-498-6204
Fax Number : 859-498-6205
Provider Business Practice Location Address
First Line : 25 E HIGH ST
Second Line :
City : MT STERLING
State : KY
Zip : 40353-1267
Country : US
Telephone Number : 859-498-6204
Fax Number : 859-498-6205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 07/15/2016

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Directions to “ DONALD R MCLAURIN DDS, MD” Practice Location

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