DR. BENJAMIN JOSEPH BUMGARDNER D.D.S. NPI 1508178559

NPI Information

NPI: 1508178559
Provider Name: DR. BENJAMIN JOSEPH BUMGARDNER, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1625 DAVID RAINES RD
SHREVEPORT, LA
ZIP 71107
Phone: (318) 425-2252
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DR. Benjamin Joseph Bumgardner, D.D.S. is a general practice dentist in Shreveport, LA. The provider is 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. DR. Benjamin Joseph Bumgardner, D.D.S. NPI is 1508178559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1625 DAVID RAINES RD
SHREVEPORT, LA
ZIP 71107-899
Phone: (318) 425-2252
Fax: (318) 227-3357

The enumeration date for this NPI number is 7/7/2010 and was last updated on 7/7/2010.

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	1223G0001X	Dentist	General Practice	6079	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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