| Bishop Family Dentistry | |
|
1742 W Center St Greenwood AR 72936-3420 | |
| (479) 996-1717 | |
| (479) 996-1335 |
| Full Name | Bishop Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1742 W Center St, Greenwood, Arkansas |
| Authorized Official Name and Position | Bryan Wayne Bishop (PRESIDENT) |
| Authorized Official Contact | 4799961717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bishop Family Dentistry Po Box 3500 Greenwood AR 72936-3500 Ph: (479) 996-1717 | Bishop Family Dentistry 1742 W Center St Greenwood AR 72936-3420 Ph: (479) 996-1717 |
| NPI Number | 1851719330 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851719330 | NPI | - | NPPES |
| 176538608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3662 (Arkansas) | Primary |
Paul A. Evans, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 W Center St, Greenwood, AR 72936 Phone: 479-996-8000 Fax: 479-996-9000 | |
Brent W. Dunavin, D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 W Center St, Greenwood, AR 72936 Phone: 479-996-4181 |