Doctor profile · Federal record
Dr. Gregory Bouldien, DDS MS
Orthodontics and Dentofacial Orthopedic Dentist · Olive Branch, MS
- NPI 1013023837
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
9880 Goodman RD
Olive Branch, MS 386541722
(662) 470-4919
fax (662) 874-6295 - Additional location
-
7734 Airways Blvd
Southaven, MS 386715306
(662) 349-3838
fax (662) 349-5923 - Additional location
-
7675 Wolf River Cir Ste 102
Germantown, TN 381381747
(901) 363-8191
fax (662) 363-2774
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- March 17, 2018
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Tennessee #5213
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013023837. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$368
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 1 | $350.22 | |
| ZIMVIE INC. | 1 | $18.07 |
By nature of payment
Frequently asked questions
What is Dr. Gregory Bouldien's medical specialty?
Dr. Gregory Bouldien practices Orthodontics and Dentofacial Orthopedic Dentist in Olive Branch, MS.
Where does Dr. Gregory Bouldien practice?
Dr. Gregory Bouldien practices at 9880 Goodman RD, Olive Branch, MS 386541722. Office phone: 6624704919.
What is Dr. Gregory Bouldien's NPI?
Dr. Gregory Bouldien's National Provider Identifier (NPI) is 1013023837, issued by NPPES.