Dr. Kristin Rishodd Givan, DDS
Dentist, General Practice in Snellville, GA. Individual provider (NPI-1).
NPI number1104181288
StatusActive
Last updated in NPPESAug 24, 2021
Details
- NPI
- 1104181288
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kristin Rishodd Givan
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2012
- Certification date
- Aug 24, 2021
- Last updated
- Aug 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN015926 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2220 Wisteria Dr Ste 300Snellville, GA 30078-4604
Phone 678-836-2107
Mailing address
2220 Wisteria Dr Ste 300Snellville, GA 30078-4604
Phone 678-836-2107
Other practice locations
2500 N State St
Jackson, MS 39216-4500
Jackson, MS 39216-4500
Phone 601-984-6028
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