Individual
BRADLEY SCOTT GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
311 EAGLE MOUNTAIN BLVD, BATESVILLE, AR 72501
(870) 793-3730
(870) 698-8956
Mailing address
311 EAGLE MOUNTAIN BLVD, BATESVILLE, AR 72501
(870) 793-3730
(870) 698-8956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3046
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58705
BCBS
AR
01
—
858517
UNITED CONCORDIA
—
Enumeration date
09/06/2006
Last updated
07/08/2007
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