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Active NPI 1316786148 Individual Practitioner Male Practitioner

Dr. Bryan Bouchard , DMD

Dentist - General Practice • Bangor, ME

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Bouchard, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bangor, ME. Practice services are available at 700 MOUNT HOPE AVE STE 610 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 Mount Hope Ave Ste 610

Bangor, ME 044015673

Telephone 2079455952
Associated Practice Facility / Clinic
🏢 Brandon Jolley Dds Pa Llc Facility NPI 1104691096

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bangor, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Bangor, ME (547 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ME DEN5140

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1184154486

Doctor of Dental Surgery

Dr. Greg Solomon , DDS

Dentist - General Practice

NPI 1811907033

Doctor of Dental Surgery

Dr. Frederick Port , DMD

Dentist - General Practice

NPI 1851301089

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2024

Registered at 700 MOUNT HOPE AVE STE 610, BANGOR, ME 044015673 (Tel: 2079455952)

📍
Updated Business Mailing Address May 21, 2024

Registered at 592 MUDGETT RD, LEVANT, ME 044564146

👤
Provider Name / Credentials Updated May 21, 2024

Recorded as BRYAN BOUCHARD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2024

Dentist (License #DEN5140 in ME)

🟢
Initial NPI Registration & Enumeration May 21, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316786148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2024
Last Update: May 21, 2024
Sole Proprietor: No

Mailing Address

592 Mudgett Rd

Levant, ME 044564146

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.