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Benjamin Bumgardner, D.D.S
NPI 1508178559 · on the registry since 2010
Practice
- Address
- 1625 David Raines Rd
Shreveport, LA 71107 - Phone
- (318) 425-2252
- Fax
- (318) 227-3357
- Organisation at this address
- David Raines Community Health Center
David Raines Community Health Center
David Raines Community Health Center Inc
David Raines Community Health Center Inc
David Raines Community Health Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-07
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 Louisiana