Bumgardner, Charles Gaither
Bumgardner, Charles Gaither is an individual health care provider with primary practice located at 948 Old Cherokee Rd , Lexington SC 29072-8123. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bumgardner, Charles Gaither can be contacted via phone (803) 356-6030.Contact Information
Primary practice address
948 Old Cherokee Rd
Lexington SC 29072-8123
Phone: (803) 356-6030
Fax: (803) 356-5930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2780 | South Carolina |
Profile Details
| NPI number | 1023231255 |
|---|---|
| LBN Legal business name | Bumgardner, Charles Gaither |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023231255 | NPPES |
| South Carolina | MEDICAID | ZX2780 |
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