DR. JACK H BISHOP (NPI# 1558330480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558330480 |
| Entity Type | Individual |
| Full Name | DR. JACK H BISHOP |
| Credential | D.D.S. |
| Practice Address |
613 Dutchmans Ln Easton MD 21601-3345 |
| Mailing Address |
5019 Reed Rd Oxford MD 21654-1518 |
| Practice Telephone | 4108227710 |
| Practice Fax Number | 4107638929 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4904 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393680 | Jack Bishop | Behavior Technician | 2723 S State St Ste 150, Ann Arbor, MI 48104-6188 | 2019-12-18 |
| Street Address |
613 DUTCHMANS LN |
| City | EASTON |
| State | MD |
| Zip Code | 21601-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575424 | Easton Kids Dentist LLC | Dentist | 613 Dutchmans Ln, Easton, MD 21601-4304 | 2020-07-07 |
| 1184006009 | Katherine Barnes | Dentist | 613 Dutchmans Ln, Easton, MD 21601-3345 | 2015-06-27 |
| 1801057344 | William R. Houck, Dds | Dentist | 613 Dutchmans Ln, Easton, MD 21601-3345 | 2008-06-18 |
| 1891956355 | Erica Lewis Mead | Dentist | 613 Dutchmans Ln, Easton, MD 21601-3345 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876136 | Jerry Choi | Dentist | 2031 Hay Ter Ste 2, Easton, PA 18042-4651 | 2019-02-04 |
| 1760854392 | Dental Professionals of Pennsylvania, PC | Dentist | 4727 Freemansburg Ave, Suite 104, Easton, PA 18045 | 2015-10-22 |
| 1023418225 | Andrew Douglas Barnes | Dentist | 5 Caulk Ln, Easton, MD 21601 | 2014-08-26 |
| 1649527359 | Harold Abraham Butz Jr. | Dentist | 1780 Blossom Hill Rd, Easton, PA 18040-8350 | 2012-08-13 |
| 1013141852 | William Penn Dental P.C. | Dentist | 701 Village At Stones Crossing Rd, Easton, PA 18045-5081 | 2009-05-07 |
| 1386804367 | Angela Ruth Schmoyer | Dentist | 2546 Freemansburg Avenue, Easton, PA 18045-2546 | 2008-06-12 |
| 1992977235 | Dr Ali Soulati Dds LLC | Dentist | 508 Cynwood Dr Ste A, Easton, MD 21601-3892 | 2008-03-27 |
| 1699986216 | Gordon Keirn Calvert Jr. | Dentist | 400 Marvel Ct, Easton, MD 21601-4052 | 2007-05-25 |
| 1568674430 | Tencza Dental Associates PC | Dentist | 427 Cattell St, Easton, PA 18042-1708 | 2007-05-04 |
| 1972622785 | Margret Bowen Quimby | Dentist | 538 Cynwood Dr # C, Easton, MD 21601-3805 | 2007-03-29 |
| Find all providers in EASTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.