ALEX BOUCHER (NPI# 1033778246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033778246 |
| Entity Type | Individual |
| Full Name | ALEX BOUCHER |
| Credential | DMD |
| Practice Address |
309 Saint Thomas St Ste 213 Madawaska ME 04756-1278 |
| Mailing Address |
88 St John Rd Fort Kent ME 04743-2208 |
| Practice Telephone | 2077283971 |
| Mailing Telephone | 2075214985 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN4730 | ME | Dental Providers |
| Street Address |
309 SAINT THOMAS ST STE 213 |
| City | MADAWASKA |
| State | ME |
| Zip Code | 04756-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969240 | Melana Lynn Marquis | Registered Nurse | 309 Saint Thomas St Ste 213, Madawaska, ME 04756-1278 | 2020-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023642758 | Ian David Lee | Student in an Organized Health Care Education/Training Program | 205 21st Avenue, Madawaska, ME 04756 | 2020-03-03 |
| 1194123893 | Robin Romann | Social Worker | 88 Fox St Ste 101, Madawaska, ME 04756 | 2014-12-11 |
| 1457507972 | Country Village Estates L.L.C. | Assisted Living Facility | 260 Dugal Drive, Madawaska, ME 04756 | 2008-08-15 |
| 1124120738 | Sarah Frances Borja Chua | Internal Medicine | 460 Main St Ste 104, Madawaska, ME 04756 | 2006-09-03 |
| 1225006778 | Steven Albert | Nurse Practitioner | 460 Main Street, Suite 104, Madawaska, ME 04756 | 2006-03-10 |
| 1265417430 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 104 Main St, Madawaska, ME 04756 | 2005-12-10 |
| 1548785371 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756 | 2017-08-14 |
| 1609269711 | Kayla Cl Michaud | Counselor | 88 Fox St, Madawaska, ME 04756 | 2015-03-13 |
| 1073809034 | Heather A Berce | Social Worker | 88 Fox St, Suite 101, Madawaska, ME 04756 | 2011-06-28 |
| 1235423922 | Tricia L. Perreault | Counselor | 88 Fox St, Suite 101, Madawaska, ME 04756 | 2011-05-31 |
| Find all providers in zip 04756 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437109782 | Nelson David Henry | Dentist | 309 Saint Thomas St, Madawaska, ME 04756-1278 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1124644950 | Robert Thibeault Brookings | Dentist | 39 Grove Street, Bangor, ME 04401-5309 | 2020-06-17 |
| 1811529522 | Wagner Auguste Dental Pllc | Dentist | 206 High St Ste D, Ellsworth, ME 04605-1741 | 2020-02-11 |
| 1912537739 | Center for Advanced Dentistry of Yarmouth | Dentist | 45 Forest Falls Dr Ste B3, Yarmouth, ME 04096-6999 | 2020-01-21 |
| 1548822596 | Eric L Bolduc | Dentist | 206 High St, Ellsworth, ME 04605-1741 | 2019-06-30 |
| 1659939098 | Valerie Anne Lariviere | Dentist | 813b Main St, Waterboro, ME 04087-3006 | 2019-05-31 |
| 1427611144 | S & S Dental Group | Dentist | 2 Livewell Dr Apt 105, Kennebunk, ME 04043-6763 | 2019-04-18 |
| 1477030815 | Benjamin William Manter | Dentist | 57 Silver St Apt 4, Waterville, ME 04901-6515 | 2018-07-27 |
| 1386138394 | Robert Grant Belanger II | Dentist | 681 Augusta Rd, Belmont, ME 04952-3023 | 2018-06-22 |
| 1255823936 | Jessica Pillsbury Smith | Dentist | 93 Main St Ste 3, Waterville, ME 04901-6636 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.