Provider Demographics
NPI:1265538425
Name:GRIFFITH, SONIA A (DDS)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:A
Last Name:GRIFFITH
Suffix:
Gender:F
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:D-4-N EST. LOVENLUND
Mailing Address - Street 2:
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-775-9608
Mailing Address - Fax:
Practice Address - Street 1:9003 UPPER HAVENSIGHT MALL
Practice Address - Street 2:BLDG. 3, SUITE 307
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-774-0263
Practice Address - Fax:340-774-7493
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI10921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIBG6491497OtherDENTIST