| Johnny M. Griffin Dds Pc | |
|
1401 I85 Pkwy Ste D Montgomery AL 36106-2833 | |
| (334) 274-9861 | |
| (334) 274-9863 |
| Full Name | Johnny M. Griffin Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1401 I85 Pkwy Ste D, Montgomery, Alabama |
| Authorized Official Name and Position | Johnny Mack Griffin (PRESIDENT) |
| Authorized Official Contact | 3342749861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny M. Griffin Dds Pc 1401 I85 Pkwy Ste D Montgomery AL 36106-2833 Ph: (334) 274-9861 | Johnny M. Griffin Dds Pc 1401 I85 Pkwy Ste D Montgomery AL 36106-2833 Ph: (334) 274-9861 |
| NPI Number | 1275872426 |
|---|---|
| Provider Enumeration Date | 02/07/2013 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275872426 | NPI | - | NPPES |
| 009901290 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3420 (Alabama) | Primary |
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