DR. GEORGE BUMGARDNER (NPI# 1154354520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154354520 |
| Entity Type | Individual |
| Full Name | DR. GEORGE BUMGARDNER |
| Credential | DMD |
| Practice Address |
6439 Garners Ferry Rd Columbia SC 29209-1638 |
| Practice Telephone | 8036956814 |
| Mailing Telephone | 8036956814 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2481 | SC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2120 N Beltline Blvd, Columbia, SC 292043905 | 8037820528 |
| Street Address |
6439 GARNERS FERRY RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29209-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088149 | Bryan Davies | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209 | 2005-07-28 |
| 1255932901 | Juno Momoko Davenport | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-11-07 |
| 1144820275 | Heather Ruffin | Recreation Therapist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-10-28 |
| 1881201317 | Danelle Alexis Magalit | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-29 |
| 1700493186 | Allison Marie Anderson | Audiologist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-29 |
| 1346854783 | Sophia Armstrong | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-02 |
| 1609489756 | Jeani Rae Clark Quattlebaum | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-08-28 |
| 1851902340 | Brittany Franklin | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-08-10 |
| 1477162667 | Amee Shah | Pharmacist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-07-24 |
| 1780292482 | Mary Catherine Chase Hess | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
| 1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
| 1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
| 1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
| 1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
| 1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
| 1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| Find all providers in zip 29209 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376814723 | Nabil Beaini | Dentist | 201 W Broadway Ste 5a, Columbia, MO 65203-3842 | 2012-01-17 |
| 1811126261 | Keyla Ivette Torres | Dentist | 6395 Dobbin Rd Ste 208, Columbia, MD 21045-4759 | 2009-07-07 |
| 1578688230 | Stephen E Gossett | Dentist | 3000 Two Notch Rd., Small Smiles Dental Centers of Columbia, LLC, Columbia, SC 29204 | 2007-03-20 |
| 1518009026 | Donald William Hogan | Dentist | 7007 Brookfield Rd, Columbia, SC 29223-2212 | 2007-02-12 |
| 1609945674 | Russell Leon Harrison | Dentist | 33 E Broadway, Ste. 290, Columbia, MO 65203-4207 | 2006-11-06 |
| 1134211261 | William Cleveland James Jr. | Dentist | 2120 N Beltline Blvd, Columbia, SC 29204-3905 | 2006-09-28 |
| 1598856353 | South Carolina Periodontology Pa | Dentist | 2120 N Beltline Boulevard, Columbia, SC 29204-3905 | 2006-09-27 |
| 1700800497 | Sohee Kim Park | Dentist | 456 Clemson Rd, Columbia, SC 29229-7925 | 2006-07-26 |
| 1548282130 | Columbia Periodontal Assoicates, LLC | Dentist | 3527 Bush River Rd, Columbia, SC 29210-4805 | 2006-07-24 |
| 1427029511 | Gregg Walker Mckenzie | Dentist | 124 Alpine Cir., Columbia, SC 29223 | 2006-01-28 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.