Organization
DAVENPORT FAMILY DENTISTRY
Active
Other names
Davenport Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN M BISHOP DMD (OWNER/DENTIST)
(256) 355-0185
Entity
Organization
Contact information
Practice address
2020 STRATFORD CT SE, DECATUR, AL 35601-6553
(256) 355-0185
(256) 584-0100
Mailing address
2020 STRATFORD CT SE, DECATUR, AL 35601-6553
(256) 355-0185
(256) 584-0100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437684107
NPI
AL
Enumeration date
11/14/2018
Last updated
11/14/2018
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