person
Nicholas Bumacod
Pediatric Dentist in Austin, Texas
NPI 1740643634

Nicholas Bumacod is a Pediatric Dentist based in Austin, TX and is specialized in Pediatric Dentistry. Nicholas Bumacod practices in Austin, TX. The NPI Number for Nicholas Bumacod is 1740643634 and holds a License No. 33964 (Texas).

The current practice location address for Nicholas Bumacod is 5900 W Slaughter Ln Ste 470C, Austin, TX and can be reached out via phone at 512-288-1900.

Location: 5900 W Slaughter Ln Ste 470C, Austin, TX, 78752-3745
person
Provider Profile Details
NPI Number
1740643634
Provider Name
Nicholas Bumacod
Credential
Provider Entity Type
Individual
Gender
Male
Address
5900 W Slaughter Ln Ste 470C, Austin, TX, 78752-3745
Phone Number
512-288-1900
Fax Number
Provider Enumeration Date
03/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5900 W Slaughter Ln Ste 470C
City
State
Zip
78749-6513
Phone Number
512-288-1900
Fax Number
person
Provider Business Mailing Address Details
Address
5900 W Slaughter Ln Ste 470C
City
State
Zip
78749-6513
Phone Number
512-288-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
33964 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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