| Jean Paul Boudreau, DMD | |
|
25 Long Creek Dr, South Portland, ME 04106-2440 | |
| (207) 775-2072 | |
| Not Available |
| Full Name | Jean Paul Boudreau |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 25 Long Creek Dr, South Portland, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548292725 | NPI | - | NPPES |
| AA41490 | Other | HARVARD PILGRIM POS | |
| AA41490 | Other | HARVARD PILGRIM PPO | |
| AA41490 | Other | HARVARD PILGRIM | |
| X09241 | Other | DENTAL BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21417 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | DEN4011 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Paul Boudreau, DMD 25 Long Creek Dr, South Portland, ME 04106-2440 Ph: (207) 775-2072 | Jean Paul Boudreau, DMD 25 Long Creek Dr, South Portland, ME 04106-2440 Ph: (207) 775-2072 |
Jacob Fillebrown, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 324 Gannett Dr Ste 500, South Portland, ME 04106 Phone: 207-253-5600 | |
Dr. Peter Rene Then, DMD DR MED DENT Dentist Medicare: Not Enrolled in Medicare Practice Location: 254 Western Avenue, South Portland, ME 04106 Phone: 207-774-5527 Fax: 207-780-1188 | |
Dr. Tyler Clausen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Maine Mall Rd, South Portland, ME 04106 Phone: 207-775-1551 | |
Dr. John Bede Corey, DMD PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 254 Western Avenue, South Portland, ME 04106 Phone: 207-774-5527 Fax: 207-780-1188 | |
Dr. Gary Allan Kokx, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, 1, South Portland, ME 04106 Phone: 207-774-6553 Fax: 207-774-0496 | |
Dr. Nathan Timothy Oakes, DMD Dentist Medicare: Medicare Enrolled Practice Location: 171 Maine Mall Rd, South Portland, ME 04106 Phone: 207-517-6279 | |
Dr. Lesley Lambert Weidert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Maine Mall Rd, South Portland, ME 04106 Phone: 207-775-1551 |