Bryan Leclerc, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4054 Issued in ME

Practice address

2 Great Falls PLZ
Auburn, ME 04210-5966

Phone

(207) 784-4222

Fax

(207) 784-8798

NPI assigned

Nov 19, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1669653697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042120042",
            "telephone_number": "207-784-4222",
            "fax_number": "207-784-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREAT FALLS PLZ",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105966",
            "telephone_number": "207-784-4222",
            "fax_number": "207-784-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLERC",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi M Larson, MD
• Kristen L Laweryson, COTA
• James Lawlor
• Lawrence E. Levy D.M.D., P.a
• Pamela Philbrook Leary, MA, MS, LCPC-C
• Jonathan Lee
• William Alfred Legere, FNP, PMHNP
• Kristi S Leidemann, RDH
• Katie Lemieux, SLPA
• Heather M Lent, LCPC-C

• General Practice Dentistry in Auburn, ME
• Providers in Auburn, 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 Nov 19, 2007; 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.