West, Griffin Harold

West, Griffin Harold is an individual health care provider with primary practice located at 1421 S 28Th Ave , Hattiesburg MS 39402-3108. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. West, Griffin Harold can be contacted via phone (601) 264-7611.

Contact Information

Primary practice address
1421 S 28Th Ave Hattiesburg MS 39402-3108
Phone: (601) 264-7611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X OS-527-17 Mississippi
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3715-13 Mississippi

Profile Details

NPI number 1053752642
LBN Legal business name West, Griffin Harold
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2013
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053752642 NPPES
Mississippi MEDICAID 8956501

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