Ivan Anderson Bishop Jr, DDS is a
Dentist - General Practice based in Holly Hill, South Carolina. Ivan Anderson Bishop Jr is licensed to practice in South Carolina (license number 1574) and his current practice location is
912 Holly Street, Holly Hill, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 496-5093.
NPI number for Ivan Anderson Bishop Jr is 1982736088 and his current mailing address is 1619 Jill St, Holly Hill, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982736088.
Healthcare Provider's Profile
Full Name | Ivan Anderson Bishop Jr |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 912 Holly Street, Holly Hill, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982736088
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ivan Anderson Bishop Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982736088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 1574 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Anderson Bishop Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ivan Anderson Bishop Jr, DDS 1619 Jill St, Holly Hill, SC 29059-2512 Ph: (803) 496-9695 | Ivan Anderson Bishop Jr, DDS 912 Holly Street, Holly Hill, SC 29059-0606 Ph: (803) 496-5093 |
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