NPI 1710416409 · live from the CMS NPI Registry
Steven James Bumgarner, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Wake Forest, NC. National Provider Identifier 1710416409, active.
NPI record
| NPI | 1710416409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1268 S Main St, Wake Forest, NC 27587 |
| Practice phone | 919-556-7820 |
| Enumerated | June 7, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 7359 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.