Provider Demographics
NPI:1649308008
Name:BISHOP & BISHOP D.D.S.,P.A.
Entity type:Organization
Organization Name:BISHOP & BISHOP D.D.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-608-9270
Mailing Address - Street 1:8830 CAMERONS STREET
Mailing Address - Street 2:SUITE 504
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-608-9270
Mailing Address - Fax:
Practice Address - Street 1:8830 CAMERONS STREET
Practice Address - Street 2:SUITE 504
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-608-9270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD118011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD975867Medicare UPIN
MD0005032247Medicare UPIN
MD58=========102Medicare UPIN