Dale K McLaughlin, DDS

Individual provider Active NPI General Practice Dentistry · Kane, PA

NPI 1407976004 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407976004
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS020026L (PA)
Practice address
118 Fraley St
Kane, PA 16735-1327
Phone
(814) 837-6313
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS020026L PA Yes

Addresses

Primary practice location

118 Fraley St
Kane, PA 16735-1327

Mailing address

118 Fraley St
Kane, PA 16735-1327
Phone (814) 837-6313

Other providers in Kane, PA

All providers in Kane, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.