Provider Demographics
NPI:1952075509
Name:J. GRIFFITHS DENTISTRY, LLC
Entity Type:Organization
Organization Name:J. GRIFFITHS DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/EMPLOYEE/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOLANTA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITHS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-380-8743
Mailing Address - Street 1:1371 FERNWOOD CIR NE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3407
Mailing Address - Country:US
Mailing Address - Phone:508-380-8743
Mailing Address - Fax:
Practice Address - Street 1:3369 BUFORD HWY NE STE 840
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30329-1742
Practice Address - Country:US
Practice Address - Phone:404-636-5570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental