DR. GREGORY BOULDIEN DDS MS
NPI 1013023837
Dentist - Orthodontics and Dentofacial Orthopedics in Olive Branch, MS

Active since August 22, 2006
9880 GOODMAN RD, OLIVE BRANCH, MS 38654(662) 470-4919(662) 874-6295 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jan 12, 2018 (2 updates tracked since 2018).

About Dr. Gregory Bouldien Dds Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY BOULDIEN DDS MS (NPI 1013023837) is an individual orthodontics and dentofacial orthopedics provider in Olive Branch, Mississippi, licensed in Tennessee (5213) and active in the NPI registry since August 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013023837
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. GREGORY BOULDIENCredential: DDS MS
Location Address9880 GOODMAN RDOlive Branch, MS 38654-1722
Mailing Address9880 Goodman RdOlive Branch, MS 38654-1722 · (662) 470-4919 · Fax (662) 874-6295
Fax(662) 874-6295
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1013023837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TN · 5213
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
9880 GOODMAN RD, Olive Branch, MS 38654

Secondary Practice Locations 2

Location 17675 Wolf River Cir Ste 102Germantown, TN 38138-1747 · Phone (901) 363-8191 · Fax (662) 363-2774
Location 27734 Airways BlvdSouthaven, MS 38671-5306 · Phone (662) 349-3838 · Fax (662) 349-5923

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
9880 GOODMAN RD
OLIVE BRANCH, MS 38654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Bouldien's NPI number?

The NPI number for Gregory Bouldien is 1013023837. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Gregory Bouldien located?

Gregory Bouldien practices at 9880 Goodman Rd, Olive Branch, MS 38654. The listed phone number is (662) 470-4919.

What is Gregory Bouldien's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Gregory Bouldien accept?

Health plans from BlueCross BlueShield of Tennessee list Gregory Bouldien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregory Bouldien was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.