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Individual

BRYAN W BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1742 W CENTER ST, GREENWOOD, AR 72936-3420
(479) 996-1717
(479) 996-1335
Mailing address
PO BOX 3500, GREENWOOD, AR 72936-3500
(479) 996-1717
(479) 996-1335

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3662
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176538608
AR
Enumeration date
07/02/2008
Last updated
02/12/2026
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