Griffin, Jacob
Griffin, Jacob is an individual health care provider with primary practice located at 1344 Carmichael Way , Montgomery AL 36106-3694. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Griffin, Jacob can be contacted via phone (334) 244-2055.Contact Information
Primary practice address
1344 Carmichael Way
Montgomery AL 36106-3694
Phone: (334) 244-2055
Fax: (334) 244-2059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4786AL | Alabama |
Profile Details
| NPI number | 1558408583 |
|---|---|
| LBN Legal business name | Griffin, Jacob |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Apr 12th, 2013 - about 12 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 | 1558408583 | NPPES |
| Alabama | MEDICAID | 009957260 |
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