# J GREG GRIFFIN DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J Greg Griffin DDS PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760660724
- **Authorized official:** J GREG GRIFFIN DDS (PRESIDENT)
- **Authorized official phone:** (704) 624-9300

## Contact information

- **Practice address:** 6604 E MARSHVILLE BLVD, MARSHVILLE, NC 28103-1198
- **Practice address phone:** (704) 624-9300
- **Practice address fax:** (704) 624-0311
- **Mailing address:** 6604 E MARSHVILLE BLVD, MARSHVILLE, NC 28103-1198
- **Mailing address phone:** (704) 624-9300
- **Mailing address fax:** (704) 624-0311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5594 | NC | Yes |

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 02/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5594 | DELTA DENTAL | NC |