Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gregory Bouldien, DDSMS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1013023837

Dr. Gregory Bouldien, DDSMS is an Orthodontics and Dentofacial Orthopedics Dentistry in Olive Branch, Mississippi. Works from 3 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006

Practice location Address checks out

9880 Goodman Rd
Olive Branch, MS 38654-1722
Phone: (662) 470-4919
Fax: (662) 874-6295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7734 Airways Blvd, Southaven, MS 38671-5306 — (662) 349-3838
  • 7675 Wolf River Cir Ste 102, Germantown, TN 38138-1747 — (901) 363-8191

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 5213 (TN)

Record details

NPI number1013023837
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESMarch 17, 2018
Mailing address9880 Goodman Rd, Olive Branch, MS 38654-1722