Provider Demographics
NPI:1285725069
Name:GRIFFITH, DREW S (DDS)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:S
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W WASHINGTON AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-2161
Mailing Address - Country:US
Mailing Address - Phone:908-689-0825
Mailing Address - Fax:908-689-7456
Practice Address - Street 1:315 W WASHINGTON AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-2161
Practice Address - Country:US
Practice Address - Phone:908-689-0825
Practice Address - Fax:908-689-7456
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ163741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice