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NPI Code Detail

MEDICARE: MS. SHERI JEAN BISHOP RDH

MEDICARE: MS. SHERI JEAN BISHOP RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist31.006512OH

General Provider Information

NPI Number : 1669984860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERI JEAN BISHOP RDH
Provider Business Mailing Address
First Line : 339 S WEST ST
Second Line :
City : HILLSBORO
State : OH
Zip : 45133-1339
Country : US
Telephone Number : 937-729-8990
Fax Number :
Provider Business Practice Location Address
First Line : 750 E LONG ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1846
Country : US
Telephone Number : 614-340-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2017
Last Update Date : 10/27/2017

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