Active NPIIndividual provider

Dr. Chad C Bangerter, DDS

Dentist, Endodontics in Apo, New York

NPI Number1477596625
Practice location
Dentac Bavaria Cmr 411, Apo, NY 09112-8053
Fax
—
Last updated
June 26, 2023

Chad Cory Bangerter is a Dentist, Endodontics based in Apo, NY. Chad Cory Bangerter practices in Apo, NY and has the professional credentials of DDS. The NPI Number for Chad Cory Bangerter is 1477596625 and holds a License No. 5368603-9921 (UT). The current practice location address for Chad Cory Bangerter is Dentac Bavaria Cmr 411, Apo, NY 09112-8053 and can be reached out via phone at 910-723-1119.

Provider Profile Details

NPI Number
1477596625
Provider Name
Chad Cory Bangerter
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
Dentac Bavaria Cmr 411, Apo, NY 09112-8053
Phone Number
910-723-1119
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2006
Last Update Date
June 26, 2023
Certification Date
June 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Dentac Bavaria Cmr 411
Apo, NY 09112-8053
City
Apo
Zip
09112-8053
Phone Number
910-723-1119
Apo, NY 09112Get directions →

Provider Business Mailing Address Details

Address
Cmr 411 Box 4542
Apo, AE 09112-0046
City
Apo
State
AE
Zip
09112-0046

License Information

License Number (1)
5368603-9921
License State (1)
UT
Taxonomy (1)
Dentist · 122300000X
License Number (2)
5368303-9921
License State (2)
UT
Taxonomy (2)
Dentist, Endodontics · 1223E0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Chad C Bangerter, DDS?

The NPI number of Dr. Chad C Bangerter, DDS is 1477596625. It was assigned on June 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Chad C Bangerter, DDS?

Dr. Chad C Bangerter, DDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in UT under license number 5368603-9921.

Where does Dr. Chad C Bangerter, DDS practice?

The practice location is Dentac Bavaria Cmr 411, Apo, NY 09112-8053. The office can be reached at 910-723-1119 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477596625 directly on the NPPES registry website.

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