# RANDY J O LAUGHLIN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447335864
- **Authorized official:** DR. RANDY JAMES O LAUGHLIN DDS (PRESIDENT)
- **Authorized official phone:** (989) 879-4721

## Contact information

- **Practice address:** 224 S MANITOU, PINCONNING, MI 48650-0806
- **Practice address phone:** (989) 879-4721
- **Practice address fax:** (989) 879-4731
- **Mailing address:** PO BOX 806, PINCONNING, MI 48650-0806
- **Mailing address phone:** (989) 879-4721
- **Mailing address fax:** (989) 879-4731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 13187 | MI | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4062781 | — | MI |