Individual
MASON BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 RED OAK ST, SUMMERSVILLE, WV 26651-1000
(304) 872-5600
Mailing address
322 TURNPIKE RD STE 201, SUMMERSVILLE, WV 26651-1378
(304) 619-6305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4409
WV
Other
Enumeration date
09/30/2019
Last updated
07/13/2020
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