- Practice location
- 12 Stillwater Ave, Bangor, ME 04401-3984
- Phone
- 207-941-6550
- Fax
- 207-973-3952
- Last updated
- December 13, 2016
Gary Boudreau is a Denturist based in Bangor, ME. Gary Boudreau practices in Bangor, ME and has the professional credentials of LD. The NPI Number for Gary Boudreau is 1467996330 and holds a License No. 5535 (ME). The current practice location address for Gary Boudreau is 12 Stillwater Ave, Bangor, ME 04401-3984 and can be reached out via phone at 207-941-6550 and via fax at 207-973-3952.
Provider Profile Details
- NPI Number
- 1467996330
- Provider Name
- Gary Boudreau
- Credential
- LD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Stillwater Ave, Bangor, ME 04401-3984
- Phone Number
- 207-941-6550
- Fax Number
- 207-973-3952
- Primary Taxonomy
- Denturist · 122400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 13, 2016
- Last Update Date
- December 13, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Stillwater Ave
Bangor, ME 04401-3984 - City
- Bangor
- State
- Maine
- Zip
- 04401-3984
- Phone Number
- 207-941-6550
- Fax Number
- 207-973-3952
Provider Business Mailing Address Details
- Address
- 174 Bangor RD
Benton, ME 04901-3532 - City
- Benton
- State
- ME
- Zip
- 04901-3532
License Information
- License Number
- 5535
- License State
- ME
- Taxonomy
- Denturist · 122400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Denturists near Bangor, ME
View all Denturists in Bangor →Frequently Asked Questions
What is the NPI number of Gary Boudreau, LD?
The NPI number of Gary Boudreau, LD is 1467996330. It was assigned on December 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Gary Boudreau, LD?
Gary Boudreau, LD is registered under the primary taxonomy Denturist (code 122400000X), licensed in ME under license number 5535.
Where does Gary Boudreau, LD practice?
The practice location is 12 Stillwater Ave, Bangor, ME 04401-3984. The office can be reached at 207-941-6550 (phone) or 207-973-3952 (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 1467996330 directly on the NPPES registry website.