Gregory Bouldien DDS MS

NPI 1013023837 - Dentist - 122300000X

NPI Details
NPI 1013023837
Gender Male
Enumeration Date 08/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
793 W POPLAR
COLLIERVILLE TN, 38017-2543, US
Phone (901) 854-0222
Fax (901) 854-0223
Business Location
793 W POPLAR
COLLIERVILLE TN, 38017-2543, US
Phone (901) 854-0222
Fax (901) 854-0223
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number DS005213
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According to our database, Dr. Gregory Bouldien DDS MS NPI is 1013023837, taxonomy code is 122300000X and license number is DS005213, license state is located at Tennessee. Gregory Bouldien DDS MS physically located at 793 W Poplar, Collierville TN, 38017-2543. NPI Number Gregory Bouldien DDS MS has the Individual type.

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1013023837 NPI number is provided on an as is basis without warranty of any kind. 1013023837 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Bouldien DDS MS are for informational purposes only.