Provider Demographics
NPI:1356459895
Name:MCCAUSLAND, GAIL LINK (DMD)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:LINK
Last Name:MCCAUSLAND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:GAIL
Other - Middle Name:ANN
Other - Last Name:LINK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:100 EAST NEWTON STREET G-02
Mailing Address - Street 2:BOSTON UNIVERSITY HENRY M GOLDMAN SCHOOL OF DENTAL MEDI
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:617-638-4705
Mailing Address - Fax:617-638-4713
Practice Address - Street 1:100 EAST NEWTON STREET G-02
Practice Address - Street 2:BOSTON UNIVERSITY HENRY M GOLDMAN SCHOOL OF DENTAL MEDI
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:781-729-9390
Practice Address - Fax:781-729-6792
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA192401223P0300X
MA0192401223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics