Individual provider · Type 1 NPI

Benjamin Joseph Bumgardner, DDS

General Practice Dentistry · Shreveport, LA

NPI number 1508178559 Active

Practice location

1625 David Raines Rd
Shreveport, LA 71107-5899

Fax (318) 227-3357

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6079 (LA)

General Practice Dentistry: 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.

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About NPI 1508178559

Benjamin Joseph Bumgardner, DDS's National Provider Identifier is 1508178559, issued on Jul 7, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shreveport, LA. The record was last updated on Jul 7, 2010.