Individual
JONATHAN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
501 S PRESTON ST RM 148, UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY, LOUISVILLE, KY 40202-1701
(502) 852-3534
Mailing address
501 S PRESTON ST RM 148, UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY, LOUISVILLE, KY 40202-1701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10456
KY
122300000X
Dentist
2901602913
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/21/2020
Last updated
04/05/2026
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