Organization
SHANNON GRIFFIN, DMD, PLLC
Active
Other names
Griffin Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON LEE GRIFFIN DMD (OWNER)
(580) 536-2662
Entity
Organization
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
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5322
STATE LICENSE - DENTIST
OK
Enumeration date
01/28/2016
Last updated
09/05/2023
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