Individual provider · Type 1 NPI

Nicholas Bumacod

Pediatric Dentistry · Austin, TX

NPI number 1740643634 Active

Practice location

5900 W Slaughter Ln Ste 470C
Austin, TX 78749-6513

Call (512) 288-1900 Map

Mailing address

505 E Huntland Dr Ste 340
Austin, TX 78752-3745

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X33964 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1740643634

Nicholas Bumacod's National Provider Identifier is 1740643634, issued on Mar 30, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Austin, TX. The record was last updated on Dec 7, 2020.