Ward G. Griffing, D.D.S.

Individual provider Active NPI General Practice Dentistry · Picayune, MS

NPI 1821137720 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821137720
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2547 (MS)
Practice address
801 Sixth Ave
Picayune, MS 39466-3960
Phone
(601) 798-5380
Fax
(601) 798-9981
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2547MSMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2547 MS Yes

Addresses

Primary practice location

801 Sixth Ave
Picayune, MS 39466-3960

Mailing address

801 Sixth Ave
Picayune, MS 39466-3960
Phone (601) 798-5380

Other providers in Picayune, MS

All providers in Picayune, MS · General Practice Dentistry in Mississippi

Sources for this page

Verify at the official NPI Registry.