Provider Demographics
NPI:1851811277
Name:MCCASLIN, LAURA (RDH)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MCCASLIN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 KELLY CIR
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:ME
Mailing Address - Zip Code:04330-2509
Mailing Address - Country:US
Mailing Address - Phone:207-766-6553
Mailing Address - Fax:
Practice Address - Street 1:6 CENTER ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-4927
Practice Address - Country:US
Practice Address - Phone:207-465-7300
Practice Address - Fax:207-465-7300
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERDH3772124Q00000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No124Q00000XDental ProvidersDental Hygienist