| Jack D. Griffin, Jr., D.m.d., St. Charles, Llc | |
|
1 Westbury Dr Saint Charles MO 63301-2550 | |
| (314) 488-1201 | |
| Not Available |
| Full Name | Jack D. Griffin, Jr., D.m.d., St. Charles, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 Westbury Dr, Saint Charles, Missouri |
| Authorized Official Name and Position | Jack Griffin (OWNER) |
| Authorized Official Contact | 3144881201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack D. Griffin, Jr., D.m.d., St. Charles, Llc 336 Barn Side Ln Eureka MO 63025-1650 Ph: () - | Jack D. Griffin, Jr., D.m.d., St. Charles, Llc 1 Westbury Dr Saint Charles MO 63301-2550 Ph: (314) 488-1201 |
| NPI Number | 1043766926 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043766926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014900 (Missouri) | Primary |
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