Organization
DR. DOUGLAS A. GRIFFIN D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ALAN GRIFFIN D.D.S. (PRESIDENT)
(479) 968-1655
Entity
Organization
Contact information
Practice address
200 N PHOENIX AVE, RUSSELLVILLE, AR 72801-2826
(479) 968-1655
Mailing address
200 N PHOENIX AVE, RUSSELLVILLE, AR 72801-2826
(479) 968-1655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3003
AR
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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