Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114336344 Individual Practitioner Male Practitioner

Dr. Gregory Bolden , DDS

Dentist • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Bolden, DDS is a registered healthcare professional specializing in Dentist in Detroit, MI. Practice services are available at 4646 JOHN R ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4646 John R St

Detroit, MI 482011916

Telephone 3135761000
Associated Practice Facility / Clinic
🏢 Detroit Vamc Facility NPI 1184682007

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
194 Specialists

Practicing in Detroit, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901021454

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Yurij Cherstylo

Student in an Organized Health Care Education/Training Program

NPI 1003364456
Navitha Lonappan

Registered Nurse - Medical-Surgical

NPI 1003512732
Shari Kabeth , RN

Registered Nurse - Gastroenterology

NPI 1003530007

Registered Nurse

Edwin Miller

Registered Nurse

NPI 1003544685
Edwin Loon

Licensed Practical Nurse

NPI 1003611633
Ashley Daniels , MDIV

Religious Nonmedical Practitioner

NPI 1003686775

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2015

Registered at 4646 JOHN R ST, DETROIT, MI 482011916 (Tel: 3135761000)

📍
Updated Business Mailing Address October 16, 2015

Registered at 4646 JOHN R ST, DETROIT, MI 482011916 (Tel: 3135761000)

👤
Provider Name / Credentials Updated October 16, 2015

Recorded as GREGORY BOLDEN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2015

Dentist (License #2901021454 in MI)

🟢
Initial NPI Registration & Enumeration August 13, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114336344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2014
Last Update: October 16, 2015
Sole Proprietor: No

Mailing Address

4646 John R St

Detroit, MI 482011916

Phone: 3135761000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.