Griffin, Randall L

Griffin, Randall L is an individual health care provider with primary practice located at 5378 E 225Th St , Noblesville IN 46062-8147. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Griffin, Randall L can be contacted via phone (317) 409-3260.

Contact Information

Primary practice address
5378 E 225Th St Noblesville IN 46062-8147
Phone: (317) 409-3260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12009718A Indiana
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 Feb 14th, 2025 - about last year

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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