Griffin, Iii, Minor Leonard
Griffin, Iii, Minor Leonard is an sole proprietor health care provider with primary practice located at 1903 Hardy St , Hattiesburg MS 39401-4916. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Griffin, Iii, Minor Leonard can be contacted via phone (601) 583-1042.Contact Information
Primary practice address
1903 Hardy St
Hattiesburg MS 39401-4916
Phone: (601) 583-1042
Fax: (601) 450-0159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2307-86 | Mississippi |
Profile Details
| NPI number | 1144348889 |
|---|---|
| LBN Legal business name | Griffin, Iii, Minor Leonard |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144348889 | NPPES |
| Mississippi | MEDICAID | 0660360 |
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