IndividualActive
Bryan Bouchard, DMD
NPI 1316786148 · General Practice Dentistry · Bangor, ME
Provider details
- NPI number
- 1316786148
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DEN5140 (ME)
Practice location
700 Mount Hope Ave Ste 610
Bangor, ME 04401-5673
Phone: (207) 945-5952
Mailing address
592 Mudgett Rd
Levant, ME 04456-4146
Registry dates
- Enumerated
- 2024-05-21
- Last updated
- 2024-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.