DR. JONATHAN D GRIFFIN, DDS - NPI NUMBER 1386751501

Summary

Provider Name: DR. JONATHAN D GRIFFIN, DDS

NPI Number: 1386751501

Clasification: Dentist (122300000X)

Address:
706 A HWY 76
WHITE HOUSE, TN
ZIP 37188

Phone Number: (615) 672-8886



Detailed Information

DR. Jonathan D Griffin, DDS is a dentist in White House, TN. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. The assigned NPI number for this provider is 1386751501 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

706 A HWY 76
WHITE HOUSE, TN
ZIP 37188
Phone: (615) 672-8886
Fax: (615) 672-8949

The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/8/2007.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1174639033 MR. CHRIS D. GIVENS, D.M.D.
Dentist
1275597106 DR. JOHN PICKARD PRIMM, DDS
Dentist
1588736771 MR. TERRY L JACKSON, DDS
Dentist
1629113527 DR. ROBERT WAYNE MARTIN, DDS
Dentist
1720195076 DR. SCOTT DUANE BAKER, DDS
Dentist
1013091768 DR. RICHARD LEE DAVIS, D.D.S.
Dentist (General Practice)
1073683850 PHILIP BRUCE VICKERY, DDS
Dentist (General Practice)

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 122300000X Dentist TN8002 TN Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 4102576 OTHER TN BCBS
2 917973 OTHER TN TENCARE

NPI Record

No. Field Name Field Value
1 NPI 1386751501
2 Entity Type Code 1
3 Provider Last Name Legal Name GRIFFIN
4 Provider First Name JONATHAN
5 Provider Middle Name D
6 Provider Name Prefix Text DR.
7 Provider Credential Text DDS
8 Provider First Line Business Practice Location Address 706 A HWY 76
9 Provider Business Practice Location Address City Name WHITE HOUSE
10 Provider Business Practice Location Address State Name TN
11 Provider Business Practice Location Address Postal Code 37188
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 6156728886
14 Provider Business Practice Location Address Fax Number 6156728949
15 Provider Enumeration Date 8/24/2006
16 Last Update Date 7/8/2007
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 122300000X
19 Provider License Number 1 TN8002
20 Provider License Number State Code 1 TN
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 4102576
23 Other Provider Identifier Type Code 1 01
24 Other Provider Identifier State 1 TN
25 Other Provider Identifier Issuer 1 BCBS
26 Other Provider Identifier 2 917973
27 Other Provider Identifier Type Code 2 01
28 Other Provider Identifier State 2 TN
29 Other Provider Identifier Issuer 2 TENCARE
30 Is Sole Proprietor N

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.