Active NPIIndividual provider

Dr. Michelle Beaulieu, DMD

Dentist, General Practice in Bath, Maine

NPI Number1649675810
Practice location
130 Centre St Ste 2, Bath, ME 04530-2598
Fax
207-389-4587
Last updated
April 2, 2019

Michelle Beaulieu is a Dentist, General Practice based in Bath, ME. Michelle Beaulieu practices in Bath, ME and has the professional credentials of DMD. The NPI Number for Michelle Beaulieu is 1649675810 and holds a License No. 22DI02576800 (NJ). The current practice location address for Michelle Beaulieu is 130 Centre St Ste 2, Bath, ME 04530-2598 and can be reached out via phone at 207-443-6255 and via fax at 207-389-4587.

Provider Profile Details

NPI Number
1649675810
Provider Name
Michelle Beaulieu
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
130 Centre St Ste 2, Bath, ME 04530-2598
Phone Number
207-443-6255
Fax Number
207-389-4587
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
October 29, 2014
Last Update Date
April 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Centre St Ste 2
Bath, ME 04530-2598
City
Bath
State
Maine
Zip
04530-2598
Phone Number
207-443-6255
Fax Number
207-389-4587
Bath, ME 04530Get directions →

Provider Business Mailing Address Details

Address
33 Tyng St Apt 3
Portland, ME 04102-3995
City
Portland
State
ME
Zip
04102-3995
Phone Number
207-772-4359

License Information

License Number
22DI02576800
License State
NJ
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. Michelle Beaulieu, DMD?

The NPI number of Dr. Michelle Beaulieu, DMD is 1649675810. It was assigned on October 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Michelle Beaulieu, DMD?

Dr. Michelle Beaulieu, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02576800.

Where does Dr. Michelle Beaulieu, DMD practice?

The practice location is 130 Centre St Ste 2, Bath, ME 04530-2598. The office can be reached at 207-443-6255 (phone) or 207-389-4587 (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 1649675810 directly on the NPPES registry website.

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