Tara M Griffin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17668 Issued in FL

Practice address

6424 Alexandra Louise Dr Ste 250
Orlando, FL 32827-5810

Phone

(407) 502-0110

NPI assigned

Sep 9, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emerald Coast Dental Sleep Medicine Inc

  • Customized Equipment (DME)
  • Panama City Beach, FL
  • NPI 1366716490
  NPD Authorized official
• Emerald Coast Dental Spa

  • General Practice Dentistry
  • Panama City Beach, FL
  • NPI 1548415144
  NPD Authorized official
• Sleep Solution Centers LLC

  dba Sleep Solution Centers

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1982486510
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1205084704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 ALEXANDRA LOUISE DR STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275810",
            "telephone_number": "407-502-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 ALEXANDRA LOUISE DR STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275810",
            "telephone_number": "407-502-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2024-05-15",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Lillian Griffin, LCSW
• Michelle Griffin, MD
• Rachel Elizabeth Griffin
• Rebecca R Griffin, APRN
• Sasha L. Griffin, RN, NP
• Von-Qualis Simmons Griffin
• Wendy Leigh Griffin, LCSW
• Zoe Stewart Griffin, APRN
• Michelle Griffith Chambers, NP
• Dana Rocha Griffith, OD

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.