Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON S BISHOP, DDS
ActiveJASON S BISHOP, DDS is a Pediatric Dentistry healthcare provider located in MAMMOTH LAKES, California. NPI 1508935602 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MAMMOTH LAKES, CA
Registration Details
- NPI Number
- 1508935602
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.800889145149 yrs)
- Last Updated
- Jun 16, 2016
- License
-
43758 (CA)
Practice Information
- Address
-
85 SIERRA PARK RDMAMMOTH LAKES, CA, 935462073Browse CA providers · Browse ZIP 93546
- Phone
- 7609244007
- Fax
- 7609244048
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.