Charles Gaither Bumgardner, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2780 Issued in SC

Practice address

240 Alston Cir
Lexington, SC 29072-7317

Phone

(803) 315-8788

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Dental Care of Lexington LLC

  • Dental Clinic/Center
  • Lexington, SC
  • NPI 1831798222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1023231255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ALSTON CIR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727317",
            "telephone_number": "803-315-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ALSTON CIR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727317",
            "telephone_number": "803-315-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "CHARLES",
        "middle_name": "GAITHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX2780",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naarah Bryant
• BSLK Senior Care
• Chelsea Lenora Buchanan
• Tara Buchanan
• Anthony Allen Buchta, RN
• Graham Adam Bunce, D.C.
• Emily Brooke Bunger, MCD, CCC-SLP
• Amanda Burgess, RN
• Dana Michelle Burgess, P.T.
• Mandy Burgett, MA, NCC

• General Practice Dentistry in Lexington, SC
• Providers in Lexington, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.