Griffin Dental Specialties

NPI 1447475959 - Dentist - 1223P0300X

NPI Details
NPI 1447475959
Enumeration Date 04/17/2007
Last Updated 07/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GORDON CLELAND GORDON
Position PERIODONTIST
Phone (770) 412-6575
Fax (770) 412-9089
Practice Location
218 S 11TH ST
GRIFFIN GA, 30224-2810, US
Phone (770) 412-6575
Fax (770) 412-9089
Business Location
218 S 11TH ST
GRIFFIN GA, 30224-2810, US
Phone (770) 412-6575
Fax (770) 412-9089
Toxanomy
Taxonomy Code 1223P0300X
License State Georgia
License Number DN012684
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According to our database, Griffin Dental Specialties NPI is 1447475959, taxonomy code is 1223P0300X and license number is DN012684, license state is located at Georgia. Griffin Dental Specialties physically located at 218 S 11th St, Griffin GA, 30224-2810. NPI Number 1033115704 has the healthcare provider type.

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1447475959 NPI number is provided on an as is basis without warranty of any kind. 1447475959 is maintained by the National Plan & Provider Enumeration System. The contents of Griffin Dental Specialties are for informational purposes only.