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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.