Bouldien, Gregory
Bouldien, Gregory is an individual health care provider with primary practice located at 9880 Goodman Rd , Olive Branch MS 38654-1722. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bouldien, Gregory can be contacted via phone (662) 470-4919.Contact Information
Primary practice address
9880 Goodman Rd
Olive Branch MS 38654-1722
Phone: (662) 470-4919
Fax: (662) 874-6295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5213 | Tennessee |
Profile Details
| NPI number | 1013023837 |
|---|---|
| LBN Legal business name | Bouldien, Gregory |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Mar 17th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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