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TYSON BISHOP DMD
NPI 1770111692
Dentist - General Practice in Bountiful, UT

Active since March 27, 2020
625 E 500 S STE 203, BOUNTIFUL, UT 84010(801) 292-6819 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2021, Mar 27, 2020 (2 updates tracked since 2020).

About Tyson Bishop Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYSON BISHOP DMD (NPI 1770111692) is an individual general practice provider in Bountiful, Utah, licensed in Utah (12258240-9923) and active in the NPI registry since March 2020. He maintains a secondary practice location in North Salt Lake.

NPPES Registry Identity

NPI1770111692
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTYSON BISHOPCredential: DMD
Location Address625 E 500 S STE 203Bountiful, UT 84010-3884
Mailing Address29 W 150 NNorth Salt Lake, UT 84054-2414 · (801) 372-9123
Phone(801) 292-6819
Sole ProprietorYes
Enumeration DateMarch 27, 2020
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1770111692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 12258240-9923
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.
625 E 500 S STE 203, Bountiful, UT 84010
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Secondary Practice Location 1

Location 129 W 150 NNorth Salt Lake, UT 84054-2414 · Phone (801) 372-9123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK H BLAISDELL D.D.S.
Dentist (General Practice)
625 E 500 S STE 203
BOUNTIFUL, UT 84010
Davis County (801) 292-6819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyson Bishop's NPI number?

The NPI number for Tyson Bishop is 1770111692. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Tyson Bishop located?

Tyson Bishop practices at 625 E 500 S Ste 203, Bountiful, UT 84010. The listed phone number is (801) 292-6819.

What is Tyson Bishop's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tyson Bishop accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Tyson Bishop as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyson Bishop was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.