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Dr. Tyler Griffin, DDS

Dentist in Wichita Falls, TX. Individual provider (NPI-1).

NPI number1376216598
StatusActive
Last updated in NPPESOct 27, 2023

Details

NPI
1376216598
Entity type
Individual (NPI-1)
Name
Dr. Tyler Griffin
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2021
Certification date
Oct 27, 2023
Last updated
Oct 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist37337TXYes
1223G0001X Dentist, General Practice37337TX

Practice location

5 Eureka Cir Ste A
Wichita Falls, TX 76308-2900

Phone 940-691-6066

Mailing address

3052 N Eastman Rd # Site108
Longview, TX 75605-5005

Phone 903-663-6900

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