Provider Demographics
NPI:1265615769
Name:DRS. GRIFFIN & ERRERA ORTHODONTICS, PC
Entity type:Organization
Organization Name:DRS. GRIFFIN & ERRERA ORTHODONTICS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:C
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-347-1888
Mailing Address - Street 1:179 BROADVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2401
Mailing Address - Country:US
Mailing Address - Phone:540-347-1888
Mailing Address - Fax:540-347-7236
Practice Address - Street 1:179 BROADVIEW AVE
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2401
Practice Address - Country:US
Practice Address - Phone:540-347-1888
Practice Address - Fax:540-347-7236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410873261QD0000X
VA0401005937261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental