Provider Demographics
NPI:1679636708
Name:GRIFFITH, ROBERT RODNEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RODNEY
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 OLD YORK ROAD
Mailing Address - Street 2:SUITE 122 LEVY MEDICAL BLDG
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001
Mailing Address - Country:US
Mailing Address - Phone:215-887-2385
Mailing Address - Fax:215-887-0499
Practice Address - Street 1:1235 OLD YORK ROAD
Practice Address - Street 2:SUITE 122 LEVY MEDICAL BLDG
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001
Practice Address - Country:US
Practice Address - Phone:215-887-2385
Practice Address - Fax:215-887-0499
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022090L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery