Healthcare Provider Details

I. General information

NPI: 1326899931
Provider Name (Legal Business Name): LOUIS-DAVID SAUVE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 WESTERN AVE
AUGUSTA ME
04330-7241
US

IV. Provider business mailing address

4807 HONEY DEW LN
BRADENTON FL
34211-5550
US

V. Phone/Fax

Practice location:
  • Phone: 207-621-6700
  • Fax:
Mailing address:
  • Phone: 920-540-9555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN5147
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: