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Timothy Scot Bishop, DDS

NPI 1679659668ActiveIndividual· Dentist· Fort Defiance, AZ

Dentist (DDS) in Fort Defiance, Arizona, licensed in WI, with an NPI issued in October 2006. Enrolled in Medicare as order and referring only - oral surgery.

Overview

NPI1679659668
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedOct 31, 2006
Last updated in NPPESJul 19, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X3832-015WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Oral Surgery (TX)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Fort Defiance

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