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Organization

BISHOP FAMILY DENTISTRY

Active
Other names
Bishop Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRYAN WAYNE BISHOP D.D.S. (PRESIDENT)
(479) 996-1717
Entity
Organization

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
1223G0001X
General Practice Dentistry
Primary
3662
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176538608
AR
Enumeration date
04/02/2014
Last updated
04/02/2014
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