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NPI Code Detail

MEDICARE: DEBORAH S BISHOP D.M.D.

MEDICARE:   DEBORAH S BISHOP  D.M.D.
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
11223E0200XEndodontics3550AL

General Provider Information

NPI Number : 1962582536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH S BISHOP D.M.D.
Provider Business Mailing Address
First Line : 2227 DRAKE AVE SW
Second Line : SUITE 7-C
City : HUNTSVILLE
State : AL
Zip : 35805-5199
Country : US
Telephone Number : 256-882-5161
Fax Number :
Provider Business Practice Location Address
First Line : 2227 DRAKE AVE SW
Second Line : SUITE 7-C
City : HUNTSVILLE
State : AL
Zip : 35805-5199
Country : US
Telephone Number : 256-882-5161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/09/2007

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Directions to “ DEBORAH S BISHOP D.M.D.” Practice Location

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