Provider Demographics
NPI:1851481097
Name:MCCASLIN, LYNDSAY HUDSON (DMD)
Entity Type:Individual
Prefix:DR
First Name:LYNDSAY
Middle Name:HUDSON
Last Name:MCCASLIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 RIDGELINE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-9103
Mailing Address - Country:US
Mailing Address - Phone:727-787-6453
Mailing Address - Fax:727-771-7452
Practice Address - Street 1:3007 RIDGELINE BLVD STE A
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34688-9103
Practice Address - Country:US
Practice Address - Phone:727-787-6453
Practice Address - Fax:727-771-7452
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17630332B00000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL591939028OtherTAX ID #