Provider Demographics
NPI:1164537965
Name:POOLE & GRIFFITH DDS
Entity Type:Organization
Organization Name:POOLE & GRIFFITH DDS
Other - Org Name:BELPRE DENTAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:CLAUDE
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:740-423-5551
Mailing Address - Street 1:218 MAPLE STREET
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714
Mailing Address - Country:US
Mailing Address - Phone:740-423-5551
Mailing Address - Fax:740-423-6988
Practice Address - Street 1:218 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714
Practice Address - Country:US
Practice Address - Phone:740-423-5551
Practice Address - Fax:740-423-6988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30013745122300000X
OH30015573122300000X
OH30022126122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty