Dr Kenneth Lloyd Bouchard, DDS is a
Dentist - General Practice based in Winchendon, Massachusetts. Dr Kenneth Lloyd Bouchard is licensed to practice in Massachusetts (license number 12826) and his current practice location is
77 Central St, Winchendon, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(978) 297-0675.
NPI number for Dr Kenneth Lloyd Bouchard is 1275538548 and his current mailing address is 77 Central St, Winchendon, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275538548.
Healthcare Provider's Profile
Full Name | Dr Kenneth Lloyd Bouchard |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 77 Central St, Winchendon, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275538548
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kenneth Lloyd Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275538548 | NPI | - | NPPES |
0247499 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12826 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Lloyd Bouchard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth Lloyd Bouchard, DDS 77 Central St, Winchendon, MA 01475-1609 Ph: (978) 297-0675 | Dr Kenneth Lloyd Bouchard, DDS 77 Central St, Winchendon, MA 01475-1609 Ph: (978) 297-0675 |
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