Griffin, Randall L

Griffin, Randall L is an individual health care provider with primary practice located at 11501 Cumberland Rd Suite 200, Fishers IN 46037-7005. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Griffin, Randall L can be contacted via phone (317) 578-1414.

Contact Information

Primary practice address
11501 Cumberland Rd Suite 200 Fishers IN 46037-7005
Fax: (317) 578-1417
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X IN12009718 Indiana

Profile Details

NPI number 1629099916
LBN Legal business name Griffin, Randall L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Sep 9th, 2008 - 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 1629099916 NPPES
Indiana MEDICAID 200139090A

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