NPI Details
Gary F Bouloux, MD, DDS is an oral maxillofacial surgery in Atlanta, GA with 22 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Gary F Bouloux, MD, DDS NPI is 1750335733. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004
The provider's business location address is:
1365 CLIFTON RD NE
ATLANTA, GA
ZIP 30322-013
Phone: (404) 778-5000
The NPI 1750335733 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Exam of jaw joint using an endoscope (HCPCS:29804)
The enumeration date for this NPI number is 5/22/2006 and was last updated on 11/14/2014.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 204E00000X | Oral & Maxillofacial Surgery | | 057350 | GEORGIA | Yes |
