MEDICARE: DR. WILLIAM H. MCLAUGHLIN D.D.S.

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
1	1223G0001X	General Practice Dentistry	7351	GA

General Provider Information

NPI Number	:	1568509313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM H. MCLAUGHLIN D.D.S.

Provider Business Mailing Address
First Line	:	1903 OLDE VILLAGE RUN
Second Line	:
City	:	DUNWOODY
State	:	GA
Zip	:	30338-5115
Country	:	US
Telephone Number	:	770-396-1690
Fax Number	:

Provider Business Practice Location Address
First Line	:	3606 CHAMBLEE TUCKER RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4418
Country	:	US
Telephone Number	:	770-939-7167
Fax Number	:	770-939-6519

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2007

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