Individual provider · Type 1 NPI
Gregory Bouldien, DDS MS
Orthodontics and Dentofacial Orthopedics Dentistry · Olive Branch, MS
Practice location
9880 Goodman Rd
Olive Branch, MS 38654-1722
Fax (662) 874-6295
Other practice locations
- 7675 Wolf River Cir Ste 102, Germantown, TN 38138-1747 · (901) 363-8191
- 7734 Airways Blvd, Southaven, MS 38671-5306 · (662) 349-3838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 5213 (TN) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
About NPI 1013023837
Gregory Bouldien, DDS MS's National Provider Identifier is 1013023837, issued on Aug 22, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Olive Branch, MS. The record was last updated on Mar 17, 2018.