Griffin, Jerry Lee

Griffin, Jerry Lee is an individual health care provider with primary practice located at 2501 Maple St , Abilene TX 79602-5058. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Griffin, Jerry Lee can be contacted via phone (325) 795-3298.

Contact Information

Primary practice address
2501 Maple St Abilene TX 79602-5058
Phone: (325) 795-3298
Fax: (325) 795-3203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 9787 Texas

Profile Details

NPI number 1922017847
LBN Legal business name Griffin, Jerry Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922017847 NPPES
Texas Other 84C113 BCBS PROVIDER #

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