Provider Demographics
NPI:1013928340
Name:BISHOP, DONALD WARREN JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WARREN
Last Name:BISHOP
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:245 SOUTH MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-1642
Mailing Address - Country:US
Mailing Address - Phone:585-589-5262
Mailing Address - Fax:585-589-1289
Practice Address - Street 1:245 SOUTH MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1642
Practice Address - Country:US
Practice Address - Phone:585-589-5262
Practice Address - Fax:585-589-1289
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0319771122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist