DR. JUSTIN WALLACE GRIFFIN (NPI# 1417114844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417114844 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN WALLACE GRIFFIN |
| Credential | DMD |
| Practice Address |
10136 Two Notch Rd Suite 5 Columbia SC 29229-4389 |
| Mailing Address |
5 Abbeyhill Ct Columbia SC 29229-7423 |
| Practice Telephone | 8037880099 |
| Practice Fax Number | 8037880040 |
| Mailing Telephone | 8034620092 |
| Mailing Fax Number | 8037880099 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3770 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201524 | Justin Dudley Griffin | Chiropractor | 2016 S Eagle Rd, Meridian, ID 83642 | 2006-01-27 |
| 1669785986 | Justin Edward Griffin | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2010-07-15 |
| 1144544610 | Justin W Griffin | Orthopaedic Surgery | 5716 Cleveland St Ste 200, Virginia Beach, VA 23462-1784 | 2010-03-26 |
| Street Address |
10136 TWO NOTCH RD SUITE 5 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29229-4389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144254871 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 10136 Two Notch Rd, Columbia, SC 29229-4389 | 2006-07-10 |
| 1316314669 | Eddis Ophthalmic Services, LLC | Optometrist | 10136 Two Notch Rd, Suite 107d, Columbia, SC 29229-4389 | 2015-08-21 |
| 1588055214 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 10136 Two Notch Rd, Suite 107d, Columbia, SC 29229-4389 | 2015-02-17 |
| 1053717926 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 10136 Two Notch Rd, Suite 107d, Columbia, SC 29229-4389 | 2014-11-05 |
| 1558647560 | Jessica Sanderson Felder | Pharmacist | 10136 Two Notch Rd, Columbia, SC 29229-4389 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| 1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
| 1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
| 1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
| 1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
| 1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
| Find all providers in zip 29229 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1841803855 | Craig Thomas Luskey | Dentist | 4500 Stuart St Fl 3, Columbia, SC 29207-5700 | 2020-08-28 |
| 1710505169 | Dentists of Devine, PC | Dentist | 4600 Devine St Ste B, Columbia, SC 29205-3617 | 2020-07-13 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| 1962033001 | Ivy Creek Family Dentistry LLC | Dentist | 9007 Two Notch Rd Ste B, Columbia, SC 29223-5834 | 2020-01-28 |
| 1538701230 | Sulekha Agrawal Dmd LLC | Dentist | 9194 Red Branch Rd Ste A, Columbia, MD 21045-2005 | 2019-10-14 |
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1245885284 | Mana Shoeybi | Dentist | 6955 Oakland Mills Rd Ste 0, Columbia, MD 21045-5849 | 2019-08-06 |
| 1528628716 | Soh of Missouri Samson Liu PC | Dentist | 303 N Keene St # 202-210, Columbia, MO 65201-8050 | 2019-06-19 |
| 1417511783 | Molly Kayleen Pincelli | Dentist | Ph Usc Medical Group Dentistry, 10 Medical Park, Columbia, SC 29203 | 2019-04-23 |
| Find all providers in COLUMBIA | ||||
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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.