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Gary Boudreau, LD
NPI 1467996330 · Denturist · Bangor, ME
Gary Boudreau, LD is a Denturist provider in Bangor, ME (NPI 1467996330).
Provider details
- NPI number
- 1467996330
- Entity type
- Individual
- Primary specialty
- DenturistDental Providers
- Credential
- LD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5535 (ME)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 Stillwater Ave
Bangor, ME 04401-3984
Phone: (207) 941-6550
Fax: (207) 973-3952
Street-level locationGet directions
Mailing address
174 Bangor Rd
Benton, ME 04901-3532
Registry dates
- Enumerated
- 2016-12-13
- Last updated
- 2016-12-13
Frequently asked questions
- What is Gary Boudreau's NPI number?
- Gary Boudreau's National Provider Identifier (NPI) is 1467996330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Boudreau's specialty?
- Gary Boudreau is listed in the NPPES registry with a primary specialty of Denturist (Dental Providers).
- Where is Gary Boudreau located?
- Gary Boudreau's practice location on file with NPPES is 12 Stillwater Ave, Bangor, ME 04401-3984.
- What is Gary Boudreau's phone number?
- The practice phone number listed in the NPPES registry for Gary Boudreau is (207) 941-6550.
- Is Gary Boudreau's NPI active?
- Yes — Gary Boudreau's NPI (1467996330) is active in the NPPES registry as of the last update on 2016-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.