# M. R. BISHOP DMD & ASSOCIATES, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730200643
- **Authorized official:** DR. MICHAEL R. BISHOP D.M.D. (OWNER)
- **Authorized official phone:** (859) 887-1094

## Contact information

- **Practice address:** 409 ETTER DR, NICHOLASVILLE, KY 40356-1073
- **Practice address phone:** (859) 887-1094
- **Practice address fax:** (859) 885-1604
- **Mailing address:** 409 ETTER DR, NICHOLASVILLE, KY 40356-1073
- **Mailing address phone:** (859) 887-1094
- **Mailing address fax:** (859) 885-1604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5844 | KY | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020