Bumgardner Family Dental, Apdc

NPI #1912460437 in Carencro, Louisiana

Provider Information

NPI Number: 1912460437
Entity Type: Organization
Organization Name: Bumgardner Family Dental, Apdc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 11, 2019
Last Updated: Apr 11, 2019

Practice Location

Address: 4306 N. UNIVERSITY
City: Carencro
State: Louisiana
ZIP Code: 70520
Phone: (337) 896-3062

Authorized Official

Name: DR. BENJAMIN JOSEPH BUMGARDNER, D.D.S.
Title: PRESIDENT OF BUMGARDNER FAMILY DEN
Phone: (337) 896-3062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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