Steven G Bishop, DDS
Individual provider Active NPI General Practice Dentistry · Berwick, PA
NPI 1699855072 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699855072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS018848L (PA)
- Practice address
- 105 W 9TH St
Berwick, PA 18603-3024 - Phone
- (570) 752-4542
- Fax
- (570) 752-6806
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|
| DS018848L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berwick Dental Arts Inc | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS018848L | PA | Yes |
Addresses
Primary practice location
105 W 9TH St
Berwick, PA 18603-3024
Mailing address
92 Brentwood Cir
Bloomsburg, PA 17815-7739
Phone (570) 784-8037
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005214560001 | Medicaid | PA | |
| 089467 | Other | PA | UNITED CONCORDIA |
Other providers in Berwick, PA
- Berwick Hospital Corporation
- Berwick Medical Professionals PC
- Berwick PA Opco LLC
- Michelle Lynn Bingaman
- Bio-Medical Applications of Pennsylvania, Inc.
- Danielle Blass
- Bloomsburg Physicians Services
- Ruth K. Brewer
- Yolanda Brown
- Cynthia Bubb
All providers in Berwick, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.