Organization
GPC,LLC
Active
Other names
Gerald P. Couture, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD P COUTURE D.M.D. (OWNER)
(207) 469-2912
Entity
Organization
Contact information
Practice address
166 FRANKLIN STREET, BUCKSPORT, ME 04416-0879
(207) 469-6159
Mailing address
PO BOX 879, BUCKSPORT, ME 04416-0879
(207) 469-2912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2957
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113550000
—
ME
Enumeration date
06/02/2009
Last updated
06/02/2009
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