| Gerald P. Couture, D.m.d. | |
|
166 Franklin Street Bucksport ME 04416-0879 | |
| (207) 469-6159 | |
| Not Available |
| Full Name | Gerald P. Couture, D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 166 Franklin Street, Bucksport, Maine |
| Authorized Official Name and Position | Gerald P Couture (OWNER) |
| Authorized Official Contact | 2074692912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald P. Couture, D.m.d. Po Box 879 Bucksport ME 04416-0879 Ph: (207) 469-2912 | Gerald P. Couture, D.m.d. 166 Franklin Street Bucksport ME 04416-0879 Ph: (207) 469-6159 |
| NPI Number | 1114153418 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 06/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114153418 | NPI | - | NPPES |
| 113550000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2957 (Maine) | Primary |
Ellsworth Bucksport Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Mechanic Street, Bucksport, ME 04416 Phone: 207-469-6191 Fax: 207-469-3816 | |
Bucksport Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Main St, Bucksport, ME 04416 Phone: 207-469-2912 Fax: 207-469-2912 |