GRIFFIN DENTAL SPECIALTIES NPI 1447475959

NPI Information

  • NPI: 1447475959
  • Provider Name: GRIFFIN DENTAL SPECIALTIES
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 218 S 11TH ST
    GRIFFIN, GA
    ZIP 30224
  • Phone: (770) 412-6575

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NPI Details

GRIFFIN DENTAL SPECIALTIES is a periodontics dentist in Griffin, GA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GRIFFIN DENTAL SPECIALTIES NPI is 1447475959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

218 S 11TH ST
GRIFFIN, GA
ZIP 30224-810
Phone: (770) 412-6575
Fax: (770) 412-9089

The provider's authorized official is Gordon Cleland Fraser .
The authorized official title is Periodontist and has the following contact phone number (770) 412-6575.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
11223P0300XDentistPeriodonticsDN012684GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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