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Active NPI 1467996330 Individual Practitioner Male Practitioner

Gary Boudreau , LD

Denturist • Bangor, ME

Professional Overview & Biography Verified Profile Summary

Gary Boudreau, LD is a registered healthcare professional specializing in Denturist in Bangor, ME. Practice services are available at 12 STILLWATER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Stillwater Ave

Bangor, ME 044013984

Telephone 2079416550
Fax 2079733952
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Bangor, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Bangor, ME (40 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

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License ME 5535

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1003041609

Licensed Dietitian

NPI 1023367125

Doctor of Dental Medicine

NPI 1366677965

Licensed Dietitian

NPI 1396970802

Licensed Dietitian

NPI 1629203385

Licensed Dietitian

NPI 1972047470

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2016

Registered at 12 STILLWATER AVE, BANGOR, ME 044013984 (Tel: 2079416550)

📍
Updated Business Mailing Address December 13, 2016

Registered at 174 BANGOR RD, BENTON, ME 049013532

👤
Provider Name / Credentials Updated December 13, 2016

Recorded as GARY BOUDREAU, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Denturist (License #5535 in ME)

🟢
Initial NPI Registration & Enumeration December 13, 2016

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: 1467996330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2016
Last Update: December 13, 2016
Sole Proprietor: Yes

Mailing Address

174 Bangor Rd

Benton, ME 049013532

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

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