- Practice location
- 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673
- Phone
- 207-945-5952
- Fax
- —
- Last updated
- May 21, 2024
Bryan Bouchard is a Dentist, General Practice based in Bangor, ME. Bryan Bouchard practices in Bangor, ME and has the professional credentials of DMD. The NPI Number for Bryan Bouchard is 1316786148 and holds a License No. DEN5140 (ME). The current practice location address for Bryan Bouchard is 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673 and can be reached out via phone at 207-945-5952.
Provider Profile Details
- NPI Number
- 1316786148
- Provider Name
- Bryan Bouchard
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673
- Phone Number
- 207-945-5952
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 21, 2024
- Last Update Date
- May 21, 2024
- Certification Date
- May 21, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 700 Mount Hope Ave Ste 610
Bangor, ME 04401-5673 - City
- Bangor
- State
- Maine
- Zip
- 04401-5673
- Phone Number
- 207-945-5952
Provider Business Mailing Address Details
- Address
- 592 Mudgett RD
Levant, ME 04456-4146 - City
- Levant
- State
- ME
- Zip
- 04456-4146
License Information
- License Number
- DEN5140
- License State
- ME
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Bryan Bouchard, DMD?
The NPI number of Dr. Bryan Bouchard, DMD is 1316786148. It was assigned on May 21, 2024 and is currently active in the NPPES registry.
What is the specialty of Dr. Bryan Bouchard, DMD?
Dr. Bryan Bouchard, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number DEN5140.
Where does Dr. Bryan Bouchard, DMD practice?
The practice location is 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673. The office can be reached at 207-945-5952 (phone).
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 1316786148 directly on the NPPES registry website.