Provider Demographics
NPI:1609976943
Name:GRIFFEE, NANCY C (DMD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:C
Last Name:GRIFFEE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:NY
Mailing Address - Zip Code:13165-1329
Mailing Address - Country:US
Mailing Address - Phone:315-539-2231
Mailing Address - Fax:315-539-8764
Practice Address - Street 1:44 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:NY
Practice Address - Zip Code:13165-1329
Practice Address - Country:US
Practice Address - Phone:315-539-2231
Practice Address - Fax:315-539-8764
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0519241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice