Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary Boudreau, LD

Individual provider Denturist · NPI 1467996330

Gary Boudreau, LD is a Denturist in Bangor, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2016
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

12 Stillwater Ave
Bangor, ME 04401-3984
Phone: (207) 941-6550
Fax: (207) 973-3952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence 5535 (ME)

Record details

NPI number1467996330
Entity typeIndividual (Type 1)
GenderMale
Credentials LD
Sole proprietorYes
NPI enumeratedDecember 13, 2016
Last updated in NPPESDecember 13, 2016

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