Provider Demographics
NPI:1821240946
Name:GRIGGS, HENRY GILMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:GILMAN
Last Name:GRIGGS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:102 S MALONE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2474
Mailing Address - Country:US
Mailing Address - Phone:256-216-1717
Mailing Address - Fax:256-216-1771
Practice Address - Street 1:102 S MALONE ST
Practice Address - Street 2:SUITE B
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2474
Practice Address - Country:US
Practice Address - Phone:256-216-1717
Practice Address - Fax:256-216-1771
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL29581223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics