| Griffitts Facial And Oral Surgery | |
|
511 W Hanley Ave Suite C Coeur D Alene ID 83815-8995 | |
| (208) 667-0824 | |
| (208) 667-1216 |
| Full Name | Griffitts Facial And Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 511 W Hanley Ave, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Trevor Griffitts (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 2086670824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Griffitts Facial And Oral Surgery 511 W Hanley Ave Suite C Coeur D Alene ID 83815-8995 Ph: (208) 667-0824 | Griffitts Facial And Oral Surgery 511 W Hanley Ave Suite C Coeur D Alene ID 83815-8995 Ph: (208) 667-0824 |
| NPI Number | 1528467925 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528467925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D4563-OS (Idaho) | Primary |
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