Organization
JOHNNY M. GRIFFIN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY MACK GRIFFIN DDS (PRESIDENT)
(334) 274-9861
Entity
Organization
Contact information
Practice address
1401 I85 PKWY STE D, MONTGOMERY, AL 36106-2833
(334) 274-9861
(334) 274-9863
Mailing address
1401 I85 PKWY STE D, MONTGOMERY, AL 36106-2833
(334) 274-9861
(334) 274-9863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3420
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009901290
—
AL
Enumeration date
02/07/2013
Last updated
02/17/2015
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