Whalio Doctors

NPI 1235285164

John Ralph Beaudoin, DMD

Practitioner General Practice Dentistry Sanford, ME

Practice location

Address
2 Stilson St, Sanford, ME 04073-3228
Phone
(207) 324-4493
Fax
(207) 490-6551

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 3084 (ME)

Registry record

NPI
1235285164
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.