Dr. Douglas A. Griffin D.d.s., P.a. | |
200 N Phoenix Ave Russellville AR 72801-2826 | |
(479) 968-1655 | |
Not Available |
Full Name | Dr. Douglas A. Griffin D.d.s., P.a. |
---|---|
Speciality | Dentist - General Practice |
Location | 200 N Phoenix Ave, Russellville, Arkansas |
Authorized Official Name and Position | Douglas Alan Griffin (PRESIDENT) |
Authorized Official Contact | 4799681655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Douglas A. Griffin D.d.s., P.a. 200 N Phoenix Ave Russellville AR 72801-2826 Ph: (479) 968-1655 | Dr. Douglas A. Griffin D.d.s., P.a. 200 N Phoenix Ave Russellville AR 72801-2826 Ph: (479) 968-1655 |
NPI Number | 1326121146 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326121146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3003 (Arkansas) | Primary |
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