DR. BRYAN BOUCHARD DMD
NPI 1316786148
Dentist - General Practice in Bangor, ME

Q: What is Bryan Bouchard's NPI number?

The NPI number for Bryan Bouchard is 1316786148. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Q: What is Bryan Bouchard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Bouchard was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2024

700 MOUNT HOPE AVE STE 610, BANGOR, ME 04401(207) 945-5952 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bryan Bouchard Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYAN BOUCHARD DMD (NPI 1316786148) is an individual general practice provider in Bangor, Maine, licensed in Maine (DEN5140) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1316786148

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRYAN BOUCHARDCredential: DMD

Location Address700 MOUNT HOPE AVE STE 610Bangor, ME 04401-5673

Mailing Address592 Mudgett RdLevant, ME 04456-4146

Phone(207) 945-5952

Sole ProprietorNo

Enumeration DateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1316786148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ME · DEN5140

Definition

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.

700 MOUNT HOPE AVE STE 610, Bangor, ME 04401

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON JOLLEY DDS PA LLC

Dentist (General Practice)

700 MOUNT HOPE AVE STE 610
BANGOR, ME 04401

Penobscot County (207) 945-5952

DR. JOSEPH LIVINGSTON DDS

Dentist

700 MOUNT HOPE AVE STE 610
BANGOR, ME 04401

Penobscot County (207) 945-5952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Bouchard's NPI number?

The NPI number for Bryan Bouchard is 1316786148. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Bryan Bouchard located?

Bryan Bouchard practices at 700 Mount Hope Ave Ste 610, Bangor, ME 04401. The listed phone number is (207) 945-5952.

What is Bryan Bouchard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bryan Bouchard was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.