Provider Demographics
NPI:1194196626
Name:TY GRIFFITHS DMD, PA
Entity Type:Organization
Organization Name:TY GRIFFITHS DMD, PA
Other - Org Name:TODAY'S DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-493-5156
Mailing Address - Street 1:1872 TAMIAMI TRL S STE F
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-3129
Mailing Address - Country:US
Mailing Address - Phone:941-493-4156
Mailing Address - Fax:941-493-4254
Practice Address - Street 1:1872 TAMIAMI TRL S STE F
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-3129
Practice Address - Country:US
Practice Address - Phone:941-493-4156
Practice Address - Fax:941-493-4254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18685261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental