Kory Bumgardner, DENTIST

NPI 1407962988 · on the registry since 2006 · sole proprietor

Practice

Address: 2217 W 12th St
Suite #3
Hastings, NE 68901
Phone: (402) 462-6484
Fax: (402) 462-2444
Organisation at this address: Sean M Daly Dds Pc
Livewell Counseling
Greg Mucklow Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska