Dr. Gregory Bouldien
DDS MS
Dentist - Orthodontics and Dentofacial Orthopedics
About Dr. Gregory Bouldien
Dr. Gregory Bouldien, DDS MS, is a male healthcare professional specializing in Dentist - Orthodontics and Dentofacial Orthopedics with a focus on Orthodontics and Dentofacial Orthopedics, registered under National Provider Identifier (NPI) number 1013023837.
Their primary practice is located at 9880 GOODMAN RD, Olive Branch, Mississippi 38654. Patients can reach the office at (662) 470-4919. Dr. Gregory Bouldien received $50 in Medicare payments in 2018 across 1 claims.
Dr. Gregory Bouldien has been NPI-registered since 2006.
Key Metrics
Medicare Payments
$50.00
Year 2018
Payment Count
1
Year 2018
Doctor Details
Identity & Credentials
- NPI Number
- 1013023837
- Entity Type
- Individual
- First Name
- Gregory
- Last Name
- Bouldien
- Credential
- DDS MS
- Gender
- Male
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 9880 GOODMAN RD
- City
- Olive Branch
- State
- Mississippi
- ZIP
- 38654-1722
- Country
- United States
- Phone
- (662) 470-4919
- Fax
- (662) 874-6295
Specialty & Taxonomy
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Classification
- Dentist
- Specialization
- Orthodontics and Dentofacial Orthopedics
- Taxonomy Code
- 1223X0400X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 9880 GOODMAN RD
- City
- OLIVE BRANCH
- State
- MS
- ZIP
- 386541722
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Dr. Gregory Bouldien's NPI number?
What does Dr. Gregory Bouldien specialize in?
Where is Dr. Gregory Bouldien located?
Does Dr. Gregory Bouldien accept Medicare?
Does Dr. Gregory Bouldien offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Gregory Bouldien is 1013023837.