| Griffin Dental Associates | |
|
1320 Nw Homestead Dr. Suite I Lawton OK 73505 | |
| (580) 536-2662 | |
| (580) 536-2226 |
| Full Name | Griffin Dental Associates |
|---|---|
| Speciality | Surgery |
| Location | 1320 Nw Homestead Dr., Lawton, Oklahoma |
| Authorized Official Name and Position | Shannon Lee Griffin (OWNER) |
| Authorized Official Contact | 5805362662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Griffin Dental Associates 1320 Nw Homestead Dr. Suite I Lawton OK 73505 Ph: (580) 536-2662 | Griffin Dental Associates 1320 Nw Homestead Dr. Suite I Lawton OK 73505 Ph: (580) 536-2662 |
| NPI Number | 1952768467 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952768467 | NPI | - | NPPES |
| 5322 | Other | OK | STATE LICENSE - DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
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