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Individual

DR. JOHN STEPHEN BOLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MDS

Contact information

Practice address
2176 WEST ST STE 320, GERMANTOWN, TN 38138-3859
(901) 726-3878
Mailing address
2887 BELFORT DR, GERMANTOWN, TN 38138-7330
(870) 219-3542

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3910
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9809
TN

Other

Enumeration date
06/27/2014
Last updated
10/27/2025
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