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Jason S Bishop, DDS
Pediatric Dentist in Mammoth Lakes, California
NPI 1508935602

Jason S Bishop is a Pediatric Dentist based in Encinitas, CA and is specialized in Pediatric Dentistry. Jason S Bishop practices in Mammoth Lakes, CA and has the professional credentials of DDS. The NPI Number for Jason S Bishop is 1508935602 and holds a License No. 43758 (California).

The current practice location address for Jason S Bishop is 85 Sierra Park Rd, Mammoth Lakes, CA and can be reached out via phone at 760-924-4007 and via fax at 760-924-4048.

Location: 85 Sierra Park Rd, Mammoth Lakes, CA, 92024-1050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508935602
Provider Name
Jason S Bishop
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
85 Sierra Park Rd, Mammoth Lakes, CA, 92024-1050
Phone Number
760-924-4007
Fax Number
760-924-4048
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
85 Sierra Park Rd
City
Mammoth Lakes
State
California
Zip
93546-2073
Phone Number
760-924-4007
Fax Number
760-924-4048
person
Provider Business Mailing Address Details
Address
85 Sierra Park Rd
City
Mammoth Lakes
State
California
Zip
93546-2073
Phone Number
760-924-4007
Fax Number
760-924-4048
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
43758 (California)
Definition
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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