| Doctor Name: | DR. RICHARD S. MCGUCKIN |
| NPI Number: | 1649273079 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS, MSC, MAGD, FACP |
| License Number: | 03513 |
| Business Practice Address: | 160 Park Street Orono, ME - 044734602 |
| Business Phone Number: | 2078662813 |
| Business Fax Number: | 2078663640 |
| Mailing Address: | 160 Park St, ORONO |
| State: | ME |
| Postal Code: | 044734602 |
| Phone Number: | 2078662813 |
| Fax Number: | 2078663640 |
| NPI Enumeration Date: | 05/31/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/17/2006 |
| NPI Reactivation Date: | 06/23/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0700X |
| License Number: | 03513 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Prosthodontics |
| Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |