Provider Demographics
NPI:1073188017
Name:SERENE ORAL SURGERY & IMPLANT SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:SERENE ORAL SURGERY & IMPLANT SPECIALISTS, PLLC
Other - Org Name:CURTIS M BISHOP DMD, MD PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MD
Authorized Official - Phone:601-337-3822
Mailing Address - Street 1:6747 US HWY 98
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-7052
Mailing Address - Country:US
Mailing Address - Phone:601-337-3822
Mailing Address - Fax:
Practice Address - Street 1:6747 US HWY 98
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-8879
Practice Address - Country:US
Practice Address - Phone:601-337-3822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty