Bryan Bouchard, DMD

General Practice Dentistry · Bangor, ME

Individual Active NPI

NPI number 1316786148

Practice location

700 Mount Hope Ave Ste 610
Bangor, ME 04401-5673
Phone
(207) 945-5952

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NPI record

NPI
1316786148
Entity type
Individual (Type 1)
Enumeration date
May 21, 2024
Last updated
May 21, 2024
Certified
May 21, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DEN5140 ME

Mailing address

592 Mudgett Rd
Levant, ME 04456-4146

About Dr. Bouchard

Bryan Bouchard, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673. The NPI number 1316786148 was assigned on May 21, 2024 and the record was last updated on May 21, 2024.

Dr. Bouchard lists a license in the registry: #DEN5140 (ME) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Bouchard, DMD?

The NPI number is 1316786148.

What is the phone number of Dr. Bouchard?

The phone number listed for the practice location is (207) 945-5952.

Where is Dr. Bouchard located?

700 Mount Hope Ave Ste 610, Bangor, ME 04401-5673.

What is the taxonomy code for Dr. Bouchard?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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