Individual provider · Type 1 NPI

Jason S. Bishop, DDS

Pediatric Dentistry · Mammoth Lakes, CA

NPI number 1508935602 Active

Practice location

85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073

Fax (760) 924-4048

Mailing address

1680 N Coast Highway 101 Unit 47
Encinitas, CA 92024-1050

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X43758 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

76 other providers at this address

About NPI 1508935602

Jason S. Bishop, DDS's National Provider Identifier is 1508935602, issued on Nov 6, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mammoth Lakes, CA. The record was last updated on Jun 16, 2016.