Search › Mississippi › 1223X0400X
Gregory Bouldien, DDS MS
NPI 1013023837 · on the registry since 2006
Practice
- Address
- 9880 Goodman Rd
Olive Branch, MS 38654 - Phone
- (662) 470-4919
- Fax
- (662) 874-6295
- Organisation at this address
- Happy Smiles - Olive Branch Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 7734 Airways Blvd, Southaven, MS
- 7675 Wolf River Cir Ste 102, Germantown, TN
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi