Dr. Alan A Derrick-Griffith, DMD
Dentist, General Practice in Conyers, GA. Individual provider (NPI-1).
NPI number1316100738
StatusActive
Last updated in NPPESSep 7, 2020
Details
- NPI
- 1316100738
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alan A Derrick-Griffith
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2008
- Certification date
- Sep 7, 2020
- Last updated
- Sep 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN013998 | GA | Yes |
| 122300000X | Dentist | 5375 | AL |
Other names
- Alan A Griffith (Other Name)
Practice location
2802 Clearwater Ter SeConyers, GA 30013-2484
Phone 470-595-3540
Mailing address
2802 Clearwater Ter SeConyers, GA 30013-2484
Phone 470-595-3540
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