person
Dr. Larissa Kyle Bishop, DDS
General Practice Dentistry in Grandville, Michigan
NPI 1275552010

Larissa Kyle Bishop is a General Practice Dentistry based in Grand Rapids, MI and is specialized in General Practice. Larissa Kyle Bishop practices in Grandville, MI and has the professional credentials of DDS. The NPI Number for Larissa Kyle Bishop is 1275552010 and holds a License No. 2901018015 (Michigan).

The current practice location address for Larissa Kyle Bishop is 3181 Prairie St Sw, Grandville, MI and can be reached out via phone at 616-531-0360 and via fax at 616-531-2810.

Location: 3181 Prairie St Sw, Grandville, MI, 49506-3319
person
Provider Profile Details
NPI Number
1275552010
Provider Name
Larissa Kyle Bishop
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3181 Prairie St Sw, Grandville, MI, 49506-3319
Phone Number
616-531-0360
Fax Number
616-531-2810
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4487030 05 MI
D180150 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
3181 Prairie St Sw
City
State
Zip
49418-2097
Phone Number
616-531-0360
Fax Number
616-531-2810
person
Provider Business Mailing Address Details
Address
3181 Prairie St Sw
City
State
Zip
49418-2097
Phone Number
616-531-0360
Fax Number
616-531-2810
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
2901018015 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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