Individual
DR. GRIFFIN HAROLD WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1421 S 28TH AVE, HATTIESBURG, MS 39402-3108
(601) 264-7611
Mailing address
1421 S 28TH AVE, HATTIESBURG, MS 39402-3108
(601) 264-7611
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3715-13
MS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OS-527-17
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8956501
—
MS
Enumeration date
07/11/2013
Last updated
07/21/2020
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