Active NPIIndividual providerSole proprietor

Dr. John R Beaudoin, DMD

Dentist, General Practice in Sanford, Maine

NPI Number1235285164
Practice location
2 Stilson St, Sanford, ME 04073-3228
Fax
207-490-6551
Last updated
July 8, 2007

John Ralph Beaudoin is a Dentist, General Practice based in Sanford, ME. John Ralph Beaudoin practices in Sanford, ME and has the professional credentials of DMD. The NPI Number for John Ralph Beaudoin is 1235285164 and holds a License No. 3084 (ME). The current practice location address for John Ralph Beaudoin is 2 Stilson St, Sanford, ME 04073-3228 and can be reached out via phone at 207-324-4493 and via fax at 207-490-6551.

Provider Profile Details

NPI Number
1235285164
Provider Name
John Ralph Beaudoin
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2 Stilson St, Sanford, ME 04073-3228
Phone Number
207-324-4493
Fax Number
207-490-6551
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 25, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Stilson St
Sanford, ME 04073-3228
State
Maine
Zip
04073-3228
Phone Number
207-324-4493
Fax Number
207-490-6551
Sanford, ME 04073Get directions →

Provider Business Mailing Address Details

Address
2 Stilson St
Sanford, ME 04073-3228
City
Sanford
State
ME
Zip
04073-3228
Phone Number
207-324-4493
Fax Number
207-490-6551

License Information

License Number
3084
License State
ME
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John R Beaudoin, DMD?

The NPI number of Dr. John R Beaudoin, DMD is 1235285164. It was assigned on January 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. John R Beaudoin, DMD?

Dr. John R Beaudoin, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 3084.

Where does Dr. John R Beaudoin, DMD practice?

The practice location is 2 Stilson St, Sanford, ME 04073-3228. The office can be reached at 207-324-4493 (phone) or 207-490-6551 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235285164 directly on the NPPES registry website.

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