Individual provider · Type 1 NPI
Marie Christine Boucher, DDS
Oral and Maxillofacial Surgery (Dentist) · Mansfield, CT
Practice location
10 Higgins Highway
Mansfield, CT 06250
Fax (203) 239-5648
Mailing address
323 Main Street
West Haven, CT 06516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 9303 (CT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1083793210
Marie Christine Boucher, DDS's National Provider Identifier is 1083793210, issued on Nov 6, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mansfield, CT. The record was last updated on Dec 20, 2013.