Individual
DR. JACKSON KELLEY GRIFFETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
7117 MAIN ST, WOODSTOCK, GA 30188-2400
(770) 765-0555
Mailing address
130 JOHNSTON FARM LN, WOODSTOCK, GA 30188-2646
(678) 617-9725
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12437
NC
Other
Enumeration date
08/25/2021
Last updated
04/10/2024
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