Lauren Michelle Bolton, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

3546-10 Issued in MS

Practice address

1708 E Pass Rd
Gulfport, MS 39507-3528

Phone

(228) 822-9190

Fax

(228) 822-9559

NPI assigned

Oct 29, 2010

Last updated

Oct 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lauren Michelle Bolton-Gilich Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1205136785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073528",
            "telephone_number": "228-822-9190",
            "fax_number": "228-822-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073528",
            "telephone_number": "228-822-9190",
            "fax_number": "228-822-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3546-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BOLTON-GILICH",
            "middle_name": "MICHELLE",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Boles LLC
• Nathan D Boles, MD
• Lisa Bolman, PCMHT
• Bolt Counseling Services
• Jalillian W Bolton, LMSW
• Brandon Charles Bonds, PHARMD
• Brilee Booth
• Mark D Borchelt, MD, FACE
• David Borland
• Kelsie Borne

• Dentist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.