Provider Demographics
NPI:1053399360
Name:BISHOP, FRANK DENNIS II (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:DENNIS
Last Name:BISHOP
Suffix:II
Gender:M
Credentials:DMD
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Mailing Address - Street 1:1120 15TH ST
Mailing Address - Street 2:MCG DENTAL SCHOOL DEPTARTMENT OF ENDODONTICS
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0004
Mailing Address - Country:US
Mailing Address - Phone:706-721-2151
Mailing Address - Fax:706-721-8184
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:MCG DENTAL SCHOOL DEPTARTMENT OF ENDODONTICS
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-2151
Practice Address - Fax:706-721-8184
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN0129491223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics