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

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
Mailing address174 Bangor Rd, Benton, ME 04901-3532

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