Provider Demographics
NPI:1457868259
Name:SPRIGGS, D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:SPRIGGS, D.D.S., P.L.L.C.
Other - Org Name:THE SMILE SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-687-6815
Mailing Address - Street 1:5400 S MIAMI BLVD STE 116
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8465
Mailing Address - Country:US
Mailing Address - Phone:919-941-5549
Mailing Address - Fax:919-941-5569
Practice Address - Street 1:5400 S MIAMI BLVD STE 116
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8465
Practice Address - Country:US
Practice Address - Phone:919-941-5549
Practice Address - Fax:919-941-5569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10129261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental