Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649341975 Individual Practitioner Male Practitioner

Dr. Gregory W. Boucek , DDS

Dentist - General Practice • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Boucek, DDS is a registered healthcare professional specializing in Dentist - General Practice in Memphis, TN. Practice services are available at 5382 ESTATE OFFICE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5382 Estate Office Dr

Memphis, TN 381193635

Telephone 9017674270

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
236 Specialists

Practicing in Memphis, TN (2175 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN DS4523

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. James Brawner , DDS

Dentist - General Practice

NPI 1881764447

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5382 ESTATE OFFICE DR, MEMPHIS, TN 381193635 (Tel: 9017674270)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5382 ESTATE OFFICE DR, MEMPHIS, TN 381193635 (Tel: 9017674270)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY BOUCEK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DS4523 in TN)

🟢
Initial NPI Registration & Enumeration November 10, 2006

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: 1649341975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5382 Estate Office Dr

Memphis, TN 381193635

Phone: 9017674270

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.