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
Phone: (317) 578-1414
Fax: (317) 578-1417
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629099916 | NPPES |
| Indiana | MEDICAID | 200139090A |
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