GPC,LLC
Organization Active NPI General Practice Dentistry · Bucksport, ME
NPI 1114153418 · NPPES record last updated Jun 2, 2009
Key facts
- NPI
- 1114153418
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2957 (ME)
- Legal business name
- GPC,LLC
- Practice address
- 166 Franklin Street
Bucksport, ME 04416-0879 - Phone
- (207) 469-6159
- NPI assigned
- Jun 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Gerald P Couture, D.M.D.
- Title
- Owner
- Phone
- (207) 469-2912
Practitioners 3
-
Karen P Campbell, IPDH
-
Gerald P. Couture, D.M.D.
-
Derrick Alan Robertson, IPDH
National Provider Directory
Locations
166 Franklin St
Bucksport, ME 04416
Phone (207) 469-2912
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 2957 | ME | Yes |
Addresses
Primary practice location
166 Franklin Street
Bucksport, ME 04416-0879
Mailing address
PO Box 879
Bucksport, ME 04416-0879
Phone (207) 469-2912
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113550000 | Medicaid | ME |
Other names
- Gerald P. Couture, D.M.D.
Other providers in Bucksport, ME
- Justin Ryan Elliott
- Ellsworth Bucksport Dental Associates
- Foundation Dental, LLC
- Thomas Joseph Gaffney
- R Maxwell Goode
- Thomas A Gray
- Heather Harriman
- Kenneth A Harvey Jr.
- Highland Sanctuary & Retreat
- Kim L Hopkins
All providers in Bucksport, 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 2, 2009. 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.