DR. KENNETH LLOYD BOUCHARD (NPI# 1275538548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275538548 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LLOYD BOUCHARD |
| Credential | D.D.S. |
| Practice Address |
77 Central St Winchendon MA 01475-1609 |
| Practice Telephone | 9782970675 |
| Practice Fax Number | 9782974511 |
| Mailing Telephone | 9782970675 |
| Mailing Fax Number | 9782974511 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12826 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0247499 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316098361 | Kenneth R Bouchard | Audiologist-Hearing Aid Fitter | 6777 West Maple Road, Otolaryngology/audiology Henry Ford W.bloomfiled Hosp, West Bloomfield, MI 48322 | 2007-01-16 |
| Street Address |
77 CENTRAL ST |
| City | WINCHENDON |
| State | MA |
| Zip Code | 01475-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720907 | Ahmad Hakwati | Dentist | 77 Central St, Winchendon, MA 01475-1609 | 2019-09-26 |
| 1720508161 | Unique Dental of Winchendon LLC | Clinic/Center | 77 Central St, Winchendon, MA 01475-1609 | 2017-06-27 |
| 1649651670 | Tushin Atulkumar Shah | Dentist | 77 Central St, Winchendon, MA 01475-1609 | 2015-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338833 | Ryen Wood | Developmental Therapist | 334 Front Street, Winchendon, MA 01475 | 2018-09-01 |
| 1164936050 | Kristopher Daniel Ambrozewicz | Counselor | 318 Maple Street, Winchendon, MA 01475 | 2017-11-30 |
| 1750819991 | Eye Center Optical, Inc. | Technician/Technologist | 13 Walnut Street, Winchendon, MA 01475 | 2017-06-01 |
| 1700154002 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 301 Central Street, Winchendon, MA 01475 | 2011-12-01 |
| 1205951308 | Town of Winchendon | Local Education Agency (LEA) | 175 Grove St, Winchendon, MA 01475 | 2007-03-20 |
| 1831575844 | Neuropsych and Public Safety Testing Servicesb | Community/Behavioral Health | 201 Central St, Winchendon, MA 01475-1256 | 2015-08-03 |
| 1952421141 | Broadview, Inc. | Assisted Living Facility | 547 Central St, Winchendon, MA 01475-1268 | 2007-03-30 |
| 1699750034 | Renee M Boucher | Nurse Practitioner | 3 Memorial Dr, Winchendon, MA 01475-1279 | 2005-12-08 |
| 1548231731 | David N Havlin | Family Medicine | 55 Hospital Dr, Winchendon, MA 01475-1279 | 2006-01-27 |
| 1417172404 | Cheryl Ann Fletcher | Registered Nurse | 12 Woodlawn St, Winchendon, MA 01475-1333 | 2007-04-16 |
| Find all providers in zip 01475 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780011635 | James R. Mularczyk D.d.s., P.C. | Dentist | 47 Pleasant St, Winchendon, MA 01475-1618 | 2013-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213821 | Rebekah Collins | Dentist | 95 University Ave Unit 2232, Westwood, MA 02090-2379 | 2020-10-22 |
| 1902405202 | Robert Marc Grassi | Dentist | 18 Sussex Rd, Winchester, MA 01890-3849 | 2020-10-19 |
| 1558968784 | Francina Alvarez Noboa | Dentist | 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 | 2020-10-01 |
| 1447867692 | Anisha Sharma | Dentist | 50 Malden St Apt 611, Boston, MA 02118-2894 | 2020-09-30 |
| 1548877897 | Alexandra Gilbert | Dentist | 15 Williams St, Beverly, MA 01915-2323 | 2020-09-29 |
| 1639785777 | Spring Hill Dental | Dentist | 174 Highland Ave Ste 1, Somerville, MA 02143-1546 | 2020-09-22 |
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1497360572 | Nivedhitha Ramesh | Dentist | 715 Albany St # 437, Boston, MA 02118-2526 | 2020-09-15 |
| 1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
| 1720699556 | Kanza Tauqir | Dentist | 41 North Rd Ste 207, Bedford, MA 01730-1037 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | WINCHENDON |
| Zip Code | 01475 |
Please comment or provide details below to improve the information on DR. KENNETH LLOYD BOUCHARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.