Individual
DR. PHILLIP ANDREW GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3170 CHURCH ST, SLAUGHTER, LA 70777-3529
(225) 683-5292
(225) 683-3411
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6100
LA
1223G0001X
General Practice Dentistry
Primary
6100
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861006
—
LA
Enumeration date
07/28/2010
Last updated
03/29/2019
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