Healthcare Provider Details

I. General information

NPI: 1043114424
Provider Name (Legal Business Name): BISHOP FAMILY DENTISTRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1589 PORT REPUBLIC RD STE 2
ROCKINGHAM VA
22801-3799
US

IV. Provider business mailing address

1589 PORT REPUBLIC RD STE 2
ROCKINGHAM VA
22801-3799
US

V. Phone/Fax

Practice location:
  • Phone: 540-432-1600
  • Fax: 540-779-8882
Mailing address:
  • Phone: 540-432-1600
  • Fax: 540-779-8882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANDREW BISHOP
Title or Position: OWNER
Credential: DDS
Phone: 304-619-7701