Jack D. Griffin, Jr. D.m.d., Lake St. Louis, LLC
NPI #1780134569 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1780134569
- Entity Type
- Organization
- Organization Name
- Jack D. Griffin, Jr. D.m.d., Lake St. Louis, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 5, 2016
- Last Updated
- Oct 5, 2016
Practice Location
- Address
- 1000 LAKE SAINT LOUIS BLVD
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-1340
- Phone
- (314) 488-1201
Authorized Official
- Name
- JACK GRIFFIN JR., DMD
- Title
- OWNER
- Phone
- (314) 488-1201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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