Michelle Beaulieu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02576800 Issued in NJ

Practice address

130 Centre St Ste 2
Bath, ME 04530-2598

Phone

(207) 443-6255

Fax

(207) 389-4587

NPI assigned

Oct 29, 2014

Last updated

Apr 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightwork Dental Care PA

  • General Practice Dentistry
  • Bath, ME
  • NPI 1265990980
  NPD Authorized official

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1649675810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TYNG ST APT 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023995",
            "telephone_number": "207-772-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTRE ST STE 2",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302598",
            "telephone_number": "207-443-6255",
            "fax_number": "207-389-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02576800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bath Family Dental, LLC
• Bath Family Medicine
• Bath Optometric Associates, P.C.
• Bath Public Schools
• Bath-Brunswick Respite Care
• Beth Bejcek, IBCLC
• Belinda Pillow
• Hannah Belleville, MA, CF-SLP
• Jessica Bergen
• Trevor L. Bevans, D.C.

• General Practice Dentistry in Bath, ME
• Providers in Bath, 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 Apr 2, 2019; 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.