P Praxis·MD
● Active Type 1 · Individual

Gary F Bouloux, MD, DDS

Oral & Maxillofacial Surgery·Atlanta, GA· NPI 1750335733 · Enumerated 2006 · 20 years on NPI
Bouloux is 1 of 13 oral & maxillofacial surgery providers in Atlanta and 1 of 48 in Georgia.
NPI age
20 years
Enumerated 2006-05-22
Primary specialty
Oral & Maxillofacial Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-11-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 48 active oral & maxillofacial surgery providers in Georgia.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
58% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
1365 Clifton Rd Ne
Atlanta, GA 303221013
📞 4047785000
Mailing address
1365b Clifton Rd Ne, Suite 2300
Atlanta, GA 303221013
📞 4047784500

Specialties

  • Oral & Maxillofacial Surgery Primary
    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...
    GA license #057350 taxonomy 204E00000X

Practice context

Part of a multi-provider practice. 439 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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