Provider Demographics
NPI:1164995429
Name:SETH GRIFFIN DDS PLLC
Entity Type:Organization
Organization Name:SETH GRIFFIN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-621-6441
Mailing Address - Street 1:19 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49057-1236
Mailing Address - Country:US
Mailing Address - Phone:269-621-6441
Mailing Address - Fax:269-621-3579
Practice Address - Street 1:19 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:MI
Practice Address - Zip Code:49057-1236
Practice Address - Country:US
Practice Address - Phone:269-621-6441
Practice Address - Fax:269-621-3579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental