Holly Bishop
Individual provider Active NPI Dentist · Clinton, TN
NPI 1124645221 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1124645221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9657 (SC)
- Practice address
- 358 Indian Hills Cir
Clinton, TN 37716-6503 - Phone
- (865) 457-6716
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9657 | SC | MD | Military Health Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Family Dentistry, PLLC | Dentist | Current |
Accepting new patients |
Locations
358 Indian Hills Cir
Clinton, TN 37716
Phone (865) 456-6716
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9657 | SC | Yes |
Addresses
Primary practice location
358 Indian Hills Cir
Clinton, TN 37716-6503
Mailing address
358 Indian Hills Circle
Clinton, TN 37716
Phone (865) 457-6716
Other providers in Clinton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.