BRADLEY SCOTT GRIFFIN (NPI# 1073616298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073616298 |
| Entity Type | Individual |
| Full Name | BRADLEY SCOTT GRIFFIN |
| Credential | DDS |
| Practice Address |
311 Eagle Mountain Blvd Batesville AR 72501 |
| Practice Telephone | 8707933730 |
| Practice Fax Number | 8706988956 |
| Mailing Telephone | 8707933730 |
| Mailing Fax Number | 8706988956 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3046 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 58705 | 01 |
| UNITED CONCORDIA | 858517 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144735093 | Bradley M Griffin | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-12-13 |
| 1891165817 | Bradley Griffin | Physician Assistant | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2015-10-02 |
| 1932199239 | Bradley Griffin | Nurse Anesthetist, Certified Registered | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2005-10-27 |
| Street Address |
311 EAGLE MOUNTAIN BLVD |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497289631 | Paul Weber Dds | Dentist | 7 Village Rd, Batesville, IN 47006-9277 | 2017-04-14 |
| 1316327711 | Cynthia Ledermeier | Dentist | 391 Northside Dr, Batesville, IN 47006-7012 | 2015-06-02 |
| 1295006328 | Batesville Dental | Dentist | 981 State Rd., 46 E Ste B, Batesville, IN 47006-8608 | 2012-01-20 |
| 1972756971 | Batesville Dental Clinic | Dentist | 113 Eureka St, Batesville, MS 38606-2534 | 2008-11-04 |
| 1417166539 | Douglas M. Matthews | Dentist | 350 College Ave, Batesville, AR 72501 | 2007-05-22 |
| 1457474744 | Roger K. Pike Dds | Dentist | 200 Cross County Plz # A, Batesville, IN 47006-8914 | 2007-04-09 |
| 1265508816 | Larry Windell Herring | Dentist | 115 Wood St, Batesville, MS 38606 | 2006-11-27 |
| 1740384197 | Paul Anthony Weber | Dentist | 7 Village Road, Batesville, IN 47006-9277 | 2006-09-07 |
| 1376554311 | Lea Andy Garrott | Dentist | 113 Eureka Street, Batesville, MS 38606 | 2006-08-11 |
| 1043828221 | Lauren Victoria Gunderman | Dentist | 635 E Boswell St, Batesville, AR 72501-4608 | 2020-07-14 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.