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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Austin
State
Texas
Zip
78749-6513
Phone Number
512-288-1900
Fax Number
person
Provider Business Mailing Address Details
Address
5900 W Slaughter Ln Ste 470C
City
Austin
State
Texas
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
1223P0221X
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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