Kory Lee Bumgardner in Hastings - General Practice
Kory Lee Bumgardner - NPI 1407962988
Kory Lee Bumgardner is a General Practice in Hastings, Nebraska. Kory Lee Bumgardner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kory Lee Bumgardner is 1407962988. The last update date is 2007-07-08.
Kory Lee Bumgardner's current location address is 2217 W 12th St, Hastings, Nebraska. You can contact this provider via phone number 4024626484 and fax number 4024622444. The mailing address for Kory Lee Bumgardner is 2217 W 12th St, Hastings, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kory Lee Bumgardner |
|---|---|
| Address | 2217 W 12th St, Hastings, Nebraska |
| Phone Number | 4024626484 |
| Fax Number | 4024622444 |
| Sole Proprietor | Y |
| Credentials | DENTIST |
NPI Number Detail
| NPI Number | 1407962988 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2217 W 12th St |
|---|---|
| City | Hastings |
| State | Nebraska (NE) |
| Post Code | 689013660 |
| Phone Number | 4024626484 |
| Fax Number | 4024622444 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6316 |
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Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47-0841441-00 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kory Lee Bumgardner by the Centers for Medicare & Medicaid Services?
The Kory Lee Bumgardner has been issued the NPI (National Provider Identifier) 1407962988, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kory Lee Bumgardner is geographically located?
The Kory Lee Bumgardner is physically situated at the following location: 2217 W 12Th St, Hastings, NE, 689013660.
What is Kory Lee Bumgardner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kory Lee Bumgardner's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407962988 to Kory Lee Bumgardner?
The Kory Lee Bumgardner received its 1407962988 assignment from the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the Kory Lee Bumgardner's details last updated?
The information pertaining to the Kory Lee Bumgardner, including its address, specialty, and other details, was most recently updated on 2007-07-08.