Provider Demographics
NPI:1275638314
Name:MCLAUGHLIN-RAIGER, CAITLIN P (DDS)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:P
Last Name:MCLAUGHLIN-RAIGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ALLENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-2047
Mailing Address - Country:US
Mailing Address - Phone:617-327-6443
Mailing Address - Fax:617-327-6459
Practice Address - Street 1:59 BEECH ST
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-2016
Practice Address - Country:US
Practice Address - Phone:617-327-6443
Practice Address - Fax:617-327-6459
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA190261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice