Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Bumacod

Individual provider Pediatric Dentistry · NPI 1740643634

Nicholas Bumacod is a Pediatric Dentistry in Austin, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016
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Practice location Address checks out

5900 W Slaughter Ln Ste 470C
Austin, TX 78749-6513
Phone: (512) 288-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 33964 (TX)

Record details

NPI number1740643634
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2016
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020

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