Bishop Dental, LLC

NPI #1063292738 in Ulysses, Kansas

Provider Information

NPI Number: 1063292738
Entity Type: Organization
Organization Name: Bishop Dental, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PRAIRIE VISTA DENTAL, LLC
Primary Specialty: Dentist
Enumeration Date: Oct 2, 2023
Last Updated: Oct 2, 2023

Practice Location

Address: 209 W CENTRAL AVE
City: Ulysses
State: Kansas
ZIP Code: 67880-2404
Phone: (620) 424-4311

Authorized Official

Name: BRADYN BISHOP, DDS
Title: DENTIST
Phone: (801) 879-8381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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