Individual
DR. JARED BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 798-8751
Mailing address
US ARMY DENTAL HEALTH ACTIVITY BAVARIA, CMR 411 UNIT 28038, APO, AE 09112
(314) 590-3980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009747
AZ
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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