Lea Beaulieu, DMD
Individual provider Active NPI General Practice Dentistry · Sanford, ME
NPI 1073007407 · NPPES record last updated Jun 19, 2018
Key facts
- NPI
- 1073007407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN4628 (ME)
- Practice address
- 2 Stilson St
Sanford, ME 04073-3228 - Phone
- (207) 324-8699
- NPI assigned
- Jun 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4628 | ME | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lea C. Beaulieu, DMD, PA | General Practice | Current |
Accepting new patients |
Locations
3 Fundy Rd
Ste 3
Falmouth, ME 04105
Phone (207) 781-2054
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN4628 | ME | Yes |
Addresses
Primary practice location
2 Stilson St
Sanford, ME 04073-3228
Mailing address
44 Meadowbrook Dr Unit 3
Gorham, ME 04038-1384
Phone (207) 636-6039
Other practice location 1
3 Fundy Rd Ste 3
Falmouth, ME 04105-1763
Phone (207) 781-2054
Other providers in Sanford, ME
- Nicole M Batty
- Laura H Beauchesne
- John Ralph Beaudoin
- Paul E. Beaudoin
- Raymond J Beaudoin Jr.
- Kara Elizabeth Belanger
- Jenny-Jo Bell
- Inna Bertuch
- Sandra Sue Berube
- Mukesh Bhargava
All providers in Sanford, ME · General Practice Dentistry in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.