Gerald P. Couture, D.M.D.
Individual provider Active NPI Dentist · Bucksport, ME
NPI 1235210345 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1235210345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2957 (ME)
- Practice address
- 166 Franklin Street
Bucksport, ME 04416-0879 - Phone
- (207) 469-2912
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2957 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GPC,LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2957 | ME | Yes |
Addresses
Primary practice location
166 Franklin Street
Bucksport, ME 04416-0879
Mailing address
PO Box 879
166 Franklin Street
Bucksport, ME 04416-0879
Phone (207) 469-2912
Other providers in Bucksport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.