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Active NPI 1538103544 Individual Practitioner Male Practitioner

Dr. John Lyman Bishop , DMD

Dentist - General Practice • Tooele, UT

Professional Overview & Biography Verified Profile Summary

Dr. John Bishop, DMD is a registered healthcare professional specializing in Dentist - General Practice in Tooele, UT. Practice services are available at 1204 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1204 N Main St

Tooele, UT 840749540

Telephone 4358828600
Fax 4358828481
Associated Practice Facility / Clinic
🏢 Genesis Dental Of Tooele, Llc Facility NPI 1629188172

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tooele, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Tooele, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 5259584

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pehp
82398 (UT)
Commercial Insurance / Payer ID Blue Cross Blue Shield
5259849901001 (UT)
Commercial Insurance / Payer ID United Concordia
1745643 (UT)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1204 N MAIN ST, TOOELE, UT 840749540 (Tel: 4358828600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5907 WINDSONG DR, STANSBURY PARK, UT 840748949 (Tel: 4358402016)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BISHOP, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5259584 in UT)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538103544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

5907 Windsong Dr

Stansbury Park, UT 840748949

Phone: 4358402016

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.