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GARY BOUDREAU LD
NPI 1467996330
Denturist in Bangor, ME

Active since December 13, 2016
12 STILLWATER AVE, BANGOR, ME 04401(207) 941-6550(207) 973-3952 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Boudreau Ld NPPES

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

GARY BOUDREAU LD (NPI 1467996330) is an individual denturist in Bangor, Maine, licensed in Maine (5535) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1467996330
Entity TypeIndividualMale
Primary Taxonomy122400000X
Provider Legal NameGARY BOUDREAUCredential: LD
Location Address12 STILLWATER AVEBangor, ME 04401-3984
Mailing Address174 Bangor RdBenton, ME 04901-3532
Phone(207) 941-6550
Fax(207) 973-3952
Sole ProprietorYes
Enumeration DateDecember 13, 2016
✔ NPI 1467996330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in ME · 5535
Definition
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.
12 STILLWATER AVE, Bangor, ME 04401
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Other Providers at the Same Location NPPES 20

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

SHERRY M BODGE LD
Denturist
12 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 941-6550
DR. NOAH STEPHEN GAAR DPT
Physical Medicine & Rehabilitation
12 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 945-2946
DR. DAVID CHRISTOPHER HALUSKA DMD
Dentist
12 STILLWATER AVE, STE 6
BANGOR, ME 04401
Penobscot County (207) 941-6550
DR. FARBOD NABIZADEH MD
Obstetrics & Gynecology
12 STILLWATER AVE, UNIT 1
BANGOR, ME 04401
Penobscot County (207) 945-6588
MR. DELANY B WILKES DPT
Physical Therapist
12 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 945-2946
DR. ROBERT J TAKACH M.D.
Ophthalmology
12 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 945-4474
PAUL N SMITH MD, PA
Specialist
12 STILLWATER AVE, SUITE 1
BANGOR, ME 04401
Penobscot County (207) 945-6588
AUSTIN J CARBONE LD
Denturist
12 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 941-6550

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 Gary Boudreau's NPI number?

The NPI number for Gary Boudreau is 1467996330. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Gary Boudreau located?

Gary Boudreau practices at 12 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 941-6550.

What is Gary Boudreau's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Gary Boudreau was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.