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Dr. Gregory Bouldien, DDSMS
Orthodontics and Dentofacial Orthopedic Dentist in Olive Branch, Mississippi
NPI 1013023837

Gregory Bouldien is a Orthodontics and Dentofacial Orthopedic Dentist based in Olive Branch, MS and is specialized in Orthodontics and Dentofacial Orthopedics. Gregory Bouldien practices in Olive Branch, MS and has the professional credentials of DDSMS. The NPI Number for Gregory Bouldien is 1013023837 and holds a License No. 5213 (Mississippi).

The current practice location address for Gregory Bouldien is 9880 Goodman Rd, Olive Branch, MS and can be reached out via phone at 662-470-4919 and via fax at 662-874-6295. You can also correspond with Gregory Bouldien through the mailing address at 9880 GOODMAN RD, OLIVE BRANCH, MS - 38654-1722 (mailing address contact number: 662-470-4919).

Location: 9880 Goodman Rd, Olive Branch, MS, 38654-1722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013023837
Provider Name
Gregory Bouldien
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
9880 Goodman Rd, Olive Branch, MS, 38654-1722
Phone Number
662-470-4919
Fax Number
662-874-6295
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9880 Goodman Rd
City
Olive Branch
State
Mississippi
Zip
38654-1722
Phone Number
662-470-4919
Fax Number
662-874-6295
person
Provider Business Mailing Address Details
Address
9880 Goodman Rd
City
Olive Branch
State
Mississippi
Zip
38654-1722
Phone Number
662-470-4919
Fax Number
662-874-6295
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
5213 (Tennessee)
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.
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