Larissa Kyle Bishop in Grandville - General Practice
Larissa Kyle Bishop - NPI 1275552010
Larissa Kyle Bishop is a General Practice in Grandville, Michigan. Larissa Kyle Bishop practices all healthcare services and medical treatments related to General Practice. The NPI Number for Larissa Kyle Bishop is 1275552010. The last update date is 2007-07-08.
Larissa Kyle Bishop's current location address is 3181 Prairie St Sw, Grandville, Michigan. You can contact this provider via phone number 6165310360 and fax number 6165312810. The mailing address for Larissa Kyle Bishop is 3181 Prairie St Sw, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larissa Kyle Bishop |
|---|---|
| Address | 3181 Prairie St Sw, Grandville, Michigan |
| Phone Number | 6165310360 |
| Fax Number | 6165312810 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1275552010 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3181 Prairie St Sw |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 494182097 |
| Phone Number | 6165310360 |
| Fax Number | 6165312810 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901018015 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4487030 | MI | -- | |
| D180150 | MI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Larissa Kyle Bishop by the Centers for Medicare & Medicaid Services?
The Larissa Kyle Bishop has been assigned the NPI (National Provider Identifier) 1275552010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Larissa Kyle Bishop's facilities are geographically located?
The facilities of Larissa Kyle Bishop are physically situated at the following location: 3181 Prairie St Sw, Grandville, MI, 494182097.
What is Larissa Kyle Bishop's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larissa Kyle Bishop is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275552010 to Larissa Kyle Bishop?
The Larissa Kyle Bishop received its 1275552010 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date were the details pertaining to Larissa Kyle Bishop last refreshed?
The information related to the Larissa Kyle Bishop, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY