GRIFFIN DENTAL SPECIALTIES NPI 1447475959

NPI Information

NPI: 1447475959
Provider Name: GRIFFIN DENTAL SPECIALTIES
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
218 S 11TH ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 412-6575
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GRIFFIN DENTAL SPECIALTIES is a periodontics dentist in Griffin, GA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GRIFFIN DENTAL SPECIALTIES NPI is 1447475959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

218 S 11TH ST
GRIFFIN, GA
ZIP 30224-810
Phone: (770) 412-6575
Fax: (770) 412-9089

The provider's authorized official is Gordon Cleland Fraser .
The authorized official title is Periodontist and has the following contact phone number (770) 412-6575.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	DN012684	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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