Organization Active NPI

Griffin Dental, PA

  • Dental Clinic/Center
  • Summerville, SC
National Provider Identifier
1619416799
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8852 Issued in SC
Legal business name
GRIFFIN DENTAL, PA
Practice address
512 N Pine St
Summerville, SC 29483-6555
Phone
(843) 873-1202
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Dr. Kent Griffin, D.D.S.NPI 1386044469
Title
President
Phone
(843) 873-1202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8852 SC Primary

Addresses

Primary practice location

512 N Pine St
Summerville, SC 29483-6555

Mailing address

5172 Blair Rd
Summerville, SC 29483-5297
Phone (843) 873-1202

National Provider Directory

National Provider Directory

Locations

512 N Pine St
Summerville, SC 29483
Phone (843) 873-1202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1619416799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 BLAIR RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294835297",
            "telephone_number": "843-873-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N PINE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836555",
            "telephone_number": "843-873-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-873-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "8852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.