Provider Demographics
NPI:1124088307
Name:GRIFFITHS, WILLIAM L (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:L
Last Name:GRIFFITHS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8285 SW NIMBUS AVE
Mailing Address - Street 2:#185
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-6447
Mailing Address - Country:US
Mailing Address - Phone:503-646-1931
Mailing Address - Fax:503-520-1205
Practice Address - Street 1:8285 SW NIMBUS AVE
Practice Address - Street 2:#185
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-6447
Practice Address - Country:US
Practice Address - Phone:503-646-1931
Practice Address - Fax:503-520-1205
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR301295-61223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice