Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY BOULDIEN, DDS MS
ActiveDR. GREGORY BOULDIEN, DDS MS is a Orthodontics healthcare provider located in OLIVE BRANCH, Mississippi. NPI 1013023837 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · OLIVE BRANCH, MS
Registration Details
- NPI Number
- 1013023837
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2006 (19.935860249234 yrs)
- Last Updated
- Mar 17, 2018
- License
-
5213 (TN)
Practice Information
- Address
-
9880 GOODMAN RDOLIVE BRANCH, MS, 386541722Browse MS providers · Browse ZIP 38654
- Phone
- 6624704919
- Fax
- 6628746295
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.