DR. GEORGE HOWARD BOULDIEN (NPI# 1902199466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902199466 |
| Entity Type | Individual |
| Full Name | DR. GEORGE HOWARD BOULDIEN |
| Credential | DDSMS |
| Practice Address |
3100 Professional Plz Germantown TN 38138-7915 |
| Practice Telephone | 9017553354 |
| Mailing Telephone | 9017553354 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1712 | TN | Dental Providers |
| Street Address |
3100 PROFESSIONAL PLZ |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-7915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417126392 | Timothy John Poser | Dentist | W156 N11365 Pilgrim Rd, Germantown, WI 53022-0406 | 2008-02-26 |
| 1265616247 | Jacob C. Daub | Dentist | W172n9723 Division Rd, Suite B, Germantown, WI 53022-4603 | 2007-12-26 |
| 1326183419 | Peter Sheehan | Dentist | 13212 Executive Park Ter, Germantown, MD 20874-2641 | 2007-02-20 |
| 1558425173 | Lyle E. Muller | Dentist | 7535 Poplar Ave, Germantown, TN 38138-3812 | 2006-12-20 |
| 1942541412 | Kyle D. Fagala | Dentist | 2176 West St, Suite 320, Germantown, TN 38138-3869 | 2013-03-08 |
| 1871762757 | Timothy J Poser Dds Ms Sc | Dentist | W156 N11365 Pilgrim Rd, Germantown, WI 53022-0406 | 2008-02-26 |
| 1932310075 | Natalia Tomona | Dentist | 19735 Germantown Rd, Suite 140, Germantown, MD 20874-1214 | 2007-05-24 |
| 1710010798 | Elizabeth C. Robles Dds LLC | Dentist | 19847 Century Blvd, # 215, Germantown, MD 20874-7201 | 2007-03-13 |
| 1245363258 | Elizabeth C Robles | Dentist | 19847 Century Blvd, # 215, Germantown, MD 20874-7201 | 2007-03-13 |
| 1689742918 | Samie A Thabet | Dentist | 19735 Germantown Rd, Suite 230, Germantown, MD 20874-1214 | 2006-12-04 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on DR. GEORGE HOWARD BOULDIEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.