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Dr. Kory Lee Bumgardner, DENTIST
General Practice Dentistry in Hastings, Nebraska
NPI 1407962988

Kory Lee Bumgardner is a General Practice Dentistry based in Hastings, NE and is specialized in General Practice. Kory Lee Bumgardner practices in Hastings, NE and has the professional credentials of DENTIST. The NPI Number for Kory Lee Bumgardner is 1407962988 and holds a License No. 6316 (Nebraska).

The current practice location address for Kory Lee Bumgardner is 2217 W 12Th St, Hastings, NE and can be reached out via phone at 402-462-6484 and via fax at 402-462-2444.

Location: 2217 W 12Th St, Hastings, NE, 68901-3660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407962988
Provider Name
Kory Lee Bumgardner
Credential
DENTIST
Provider Entity Type
Individual
Gender
Male
Address
2217 W 12Th St, Hastings, NE, 68901-3660
Phone Number
402-462-6484
Fax Number
402-462-2444
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47-0841441-00 05 NE
institution
Provider Business Practice Location Address Details
Address
2217 W 12Th St
City
Hastings
State
Nebraska
Zip
68901-3660
Phone Number
402-462-6484
Fax Number
402-462-2444
person
Provider Business Mailing Address Details
Address
2217 W 12Th St
City
Hastings
State
Nebraska
Zip
68901-3660
Phone Number
402-462-6484
Fax Number
402-462-2444
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6316 (Nebraska)
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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