Lea C. Beaulieu, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEA C. BEAULIEU, DMD, PA

Doing business as

Foreside Dental Health Care

Practice address

3 Fundy Rd Ste 3
Falmouth, ME 04105-1763

Phone

(207) 781-2054

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lea Beaulieu, DMDNPI 1073007407

Title

Owner

Phone

(207) 636-6039

Specialties & licenses 1

Addresses

Other names 1

• Foreside Dental Health Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lea Beaulieu, DMD

  • General Practice Dentistry
  • Sanford, ME
  • NPI 1073007407
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1407452196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FUNDY RD STE 3",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051763",
            "telephone_number": "207-781-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FUNDY RD STE 3",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051763",
            "telephone_number": "207-781-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA C. BEAULIEU, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-636-6039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foreside Dental Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison H Landes, M.D.
• Megan E Lane, FNP
• Carrie Larson, LCSW
• Stephen Leroy Lauritsen, O.D.
• Rebecca Layton
• Ashley Elizabeth Leamon, FNP-BC
• Elizabeth Tallis Leander, PHARMD
• Desiree Mae Leary, DO
• Carol Lee Leblanc, PH D LCSW
• Joseph Legere, PT

• General Practice Dentistry in Falmouth, ME
• Providers in Falmouth, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.