Bumgarner, William G

Bumgarner, William G is an individual health care provider with primary practice located at 6770 Selman Dr , Douglasville GA 30134-1756. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Bumgarner, William G can be contacted via phone (770) 949-7359.

Contact Information

Primary practice address
6770 Selman Dr Douglasville GA 30134-1756
Phone: (770) 949-7359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DN008602 Georgia

Profile Details

NPI number 1578745162
LBN Legal business name Bumgarner, William G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Sep 23rd, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578745162 NPPES
Georgia MEDICAID 000153414F
Georgia Other 9208296
Georgia MEDICAID 000153414E
Georgia Other 102300

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