Individual
DR. SHANNON LEE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1320 NW HOMESTEAD DR., SUITE I, LAWTON, OK 73505
(580) 536-2662
(580) 536-2226
Mailing address
1320 NW HOMESTEAD DR., SUITE I, LAWTON, OK 73505
(580) 536-2662
(580) 536-2226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5322
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731562926
FEDERAL TAX ID
OK
Enumeration date
07/31/2006
Last updated
09/05/2023
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