Individual
DR. CHARLES GAITHER BUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
240 ALSTON CIR, LEXINGTON, SC 29072-7317
(803) 315-8788
Mailing address
240 ALSTON CIR, LEXINGTON, SC 29072-7317
(803) 315-8788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2780
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX2780
—
SC
Enumeration date
04/10/2007
Last updated
04/14/2025
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