Chris Griffin, DDS

Individual provider Active NPI General Practice Dentistry · Ripley, MS

NPI 1861473340 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861473340
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
3049-98 (MS)
Practice address
415 E Walnut St
Ripley, MS 38663-2113
Phone
(662) 837-8141
Fax
(662) 837-8199
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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
3049-98MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Dental P. a. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3049-98 MS Yes

Addresses

Primary practice location

415 E Walnut St
Ripley, MS 38663-2113

Mailing address

159 Dumas Rd
Ripley, MS 38663-9038
Phone (662) 837-1132

Other providers in Ripley, MS

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

Sources for this page

Verify at the official NPI Registry.