Healthcare Provider Details

I. General information

NPI: 1992690648
Provider Name (Legal Business Name): MINETTE INFANTE-BUGARIN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 BAIN ST SE STE B
ALBANY OR
97322-5247
US

IV. Provider business mailing address

1025 BAIN ST SE STE B
ALBANY OR
97322-5247
US

V. Phone/Fax

Practice location:
  • Phone: 541-926-1303
  • Fax:
Mailing address:
  • Phone: 541-926-1303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD12182
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: