Provider Demographics
NPI:1457729394
Name:MCCASLAND FAMILY DENTAL TOO PLLC
Entity Type:Organization
Organization Name:MCCASLAND FAMILY DENTAL TOO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCCASLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-792-3311
Mailing Address - Street 1:7310 SLIDE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2512
Mailing Address - Country:US
Mailing Address - Phone:806-792-3311
Mailing Address - Fax:806-687-3404
Practice Address - Street 1:7310 SLIDE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2512
Practice Address - Country:US
Practice Address - Phone:806-792-3311
Practice Address - Fax:806-687-3404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty