Derrick-Griffith, Alan A
Derrick-Griffith, Alan A is an sole proprietor health care provider with primary practice located at 2802 Clearwater Ter Se , Conyers GA 30013-2484. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Derrick-Griffith, Alan A can be contacted via phone (470) 595-3540.Contact Information
Primary practice address
2802 Clearwater Ter Se
Conyers GA 30013-2484
Phone: (470) 595-3540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5375 | Alabama |
| Dental Providers / General Practice | 1223G0001X | DN013998 | Georgia |
Profile Details
| NPI number | 1316100738 |
|---|---|
| LBN Legal business name | Derrick-Griffith, Alan A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2008 |
| Last updated | Sep 7th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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