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NPI Code Detail

MEDICARE: DR. DANIEL J. BISHOP DMD

MEDICARE:  DR. DANIEL J. BISHOP  DMD
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
11223G0001XGeneral Practice Dentistry7897813-9922UT

General Provider Information

NPI Number : 1912204132
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL J. BISHOP DMD
Provider Business Mailing Address
First Line : 2120 E 3900 S
Second Line : SUITE 102
City : SALT LAKE CITY
State : UT
Zip : 84124-1771
Country : US
Telephone Number : 801-274-2500
Fax Number :
Provider Business Practice Location Address
First Line : 2120 E 3900 S
Second Line : SUITE 102
City : SALT LAKE CITY
State : UT
Zip : 84124-1771
Country : US
Telephone Number : 801-274-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2011
Last Update Date : 11/02/2012

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Directions to “ DR. DANIEL J. BISHOP DMD” Practice Location

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