Individual
DR. WILLIAM MOSS BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2045 BROOKWOOD MEDICAL CTR DR, SUITE 21, BIRMINGHAM, AL 35209-6874
(205) 870-0892
(205) 870-0894
Mailing address
2045 BROOKWOOD MEDICAL CTR DR, SUITE 21, BIRMINGHAM, AL 35209-6874
(205) 870-0892
(205) 870-0894
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2838
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51090465
BCBS OF ALABAMA
AL
Enumeration date
02/20/2007
Last updated
07/08/2007
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