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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 43758 (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.
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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.