Jean Paul Boudreau, DMD
Dentist, General Practice in South Portland, Maine
1548292725- Practice location
- 25 Long Creek Dr, South Portland, ME 04106-2440
- Phone
- 207-775-2072
- Fax
- —
- Last updated
- July 8, 2007
Jean Paul Boudreau is a Dentist, General Practice based in South Portland, ME. Jean Paul Boudreau practices in South Portland, ME and has the professional credentials of DMD. The NPI Number for Jean Paul Boudreau is 1548292725 and holds a License No. 21417 (MA). The current practice location address for Jean Paul Boudreau is 25 Long Creek Dr, South Portland, ME 04106-2440 and can be reached out via phone at 207-775-2072.
Provider Profile Details
- NPI Number
- 1548292725
- Provider Name
- Jean Paul Boudreau
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Long Creek Dr, South Portland, ME 04106-2440
- Phone Number
- 207-775-2072
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 7, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Long Creek Dr
South Portland, ME 04106-2440 - City
- South Portland
- State
- Maine
- Zip
- 04106-2440
- Phone Number
- 207-775-2072
Provider Business Mailing Address Details
- Address
- 25 Long Creek Dr
South Portland, ME 04106-2440 - City
- South Portland
- State
- ME
- Zip
- 04106-2440
- Phone Number
- 207-775-2072
License Information
- License Number (1)
- 21417
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- DEN4011
- License State (2)
- ME
- Taxonomy (2)
- 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 Jean Paul Boudreau, DMD?
The NPI number of Jean Paul Boudreau, DMD is 1548292725. It was assigned on July 7, 2006 and is currently active in the NPPES registry.
What is the specialty of Jean Paul Boudreau, DMD?
Jean Paul Boudreau, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21417.
Where does Jean Paul Boudreau, DMD practice?
The practice location is 25 Long Creek Dr, South Portland, ME 04106-2440. The office can be reached at 207-775-2072 (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 1548292725 directly on the NPPES registry website.