Jean Paul Boudreau is a South Portland, Maine based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jean Paul Boudreau is
DEN4011 for General Practice Dentistry in Maine. His current practice location is
25 Long Creek Dr, South Portland. Patients can reach him at
207-775-2072.
Jean Paul Boudreau is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jean Paul Boudreau speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jean Paul Boudreau |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 25 Long Creek Dr, South Portland,
Maine, 04106-2440 |
| Phone: | 207-775-2072 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1548292725 |
| NPI Enumeration Date: | 07 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jean Paul Boudreau are as mentioned below.
| License Number | Specialization | State | Status | |
| DEN4011 | General Practice Dentistry | Maine | Primary | |
| 21417 | General Practice Dentistry | Massachusetts | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jean Paul Boudreau such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| AA41490 | Other | | HARVARD PILGRIM POS |
| AA41490 | Other | | HARVARD PILGRIM PPO |
| AA41490 | Other | | HARVARD PILGRIM |
| X09241 | Other | | DENTAL BLUE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 25 Long Creek Dr,
South Portland, Maine |
| Zip: | 04106-2440 |
| Phone Number: | 207-775-2072 |
Patients can reach Jean Paul Boudreau at
25 Long Creek Dr, South Portland, Maine or can
call to book an appointment on 207-775-2072.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.