| Keith D Bishop, DDS | |
|
2045 Highway 61 North, Port Gibson, MS 39150-4262 | |
| (601) 437-3050 | |
| (601) 437-3051 |
| Full Name | Keith D Bishop |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2045 Highway 61 North, Port Gibson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427160654 | NPI | - | NPPES |
| 09173729 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3288-04 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keith D Bishop, DDS Po Box 741, Port Gibson, MS 39150-0741 Ph: (601) 437-3050 | Keith D Bishop, DDS 2045 Highway 61 North, Port Gibson, MS 39150-4262 Ph: (601) 437-3050 |
Dr. Latoya Denise Colenberg Eakins, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2045 Highway 61 N, Port Gibson, MS 39150 Phone: 601-437-3050 Fax: 601-437-3057 | |
Dr. Eli George Ellis Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 911 Market St, Port Gibson, MS 39150 Phone: 601-437-5221 |