Provider Demographics
NPI:1285618801
Name:BISHOP, BARRY GARLAND (DDS)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:GARLAND
Last Name:BISHOP
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 BALTZELL AVE.
Mailing Address - Street 2:
Mailing Address - City:FT. BENNING
Mailing Address - State:GA
Mailing Address - Zip Code:31905
Mailing Address - Country:US
Mailing Address - Phone:706-687-9110
Mailing Address - Fax:
Practice Address - Street 1:618TH DENT CO (AS)
Practice Address - Street 2:UNIT # 15653, CRC
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96258-5653
Practice Address - Country:KR
Practice Address - Phone:732-6910
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX144601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice