DR. JACK DEAN GRIFFIN JR. (NPI# 1558457903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558457903 |
| Entity Type | Individual |
| Full Name | DR. JACK DEAN GRIFFIN JR. |
| Credential | DMD PC FAGD |
| Practice Address |
18 Hilltop Village Center Dr Eureka MO 63025 |
| Practice Telephone | 6369386241 |
| Practice Fax Number | 6389387941 |
| Mailing Telephone | 6369386241 |
| Mailing Fax Number | 6389387941 |
| Enumeration Date | 2006-10-05 |
| 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 | 014900 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235679663 | Jack Griffin | Emergency Medical Technician, Paramedic | 3006 Big Divide Rd, Copperas Cove, TX 76522-3235 | 2017-03-04 |
| 1427301464 | Jack Conway Griffin | Occupational Therapist | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2012-10-15 |
| Street Address |
18 HILLTOP VILLAGE CENTER DR |
| City | EUREKA |
| State | MO |
| Zip Code | 63025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831291277 | Jack D Griffin Jr Dmd PC | Dentist | 18 Hilltop Village Center Dr, Eureka, MO 63025-3921 | 2006-09-05 |
| 1124472857 | Eureka Smiles | Dentist | 18 Hilltop Village Center Dr, Eureka, MO 63025-3921 | 2016-04-19 |
| 1801180971 | Eric Robert Klumb | Dentist | 18 Hilltop Village Center Dr, Eureka, MO 63025-3921 | 2011-06-06 |
| 1265528616 | Menaka D Chandra | Dentist | 18 Hilltop Village Center Dr, Eureka, MO 63025-1189 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| 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 |
|---|---|---|---|---|
| 1982942652 | Angela Fang | Dentist | 604 Harris St, Eureka, CA 95503-4448 | 2013-01-30 |
| 1154620102 | Luke Andrew Omey | Dentist | 2752 Harrison Ave Ste B, Eureka, CA 95501-4738 | 2011-03-16 |
| 1558688796 | Robert Bruce Berg | Dentist | 212 J St., Eureka, CA 95501 | 2010-04-28 |
| 1437303989 | James Eugene Anderson | Dentist | 708 G. Ave, Eureka Dental, Inc., Eureka, SD 57437-0070 | 2008-11-11 |
| 1780873885 | Adam Boushek Kochendorfer | Dentist | 212 J St, Eureka, CA 95501-0524 | 2007-10-15 |
| 1689862435 | Kenneth S Singleton Dds | Dentist | 624 Harris St, Eureka, CA 95503-4448 | 2007-10-05 |
| 1386852796 | Richard F. Wolven | Dentist | 2750 Harrison Ave, Eureka, CA 95501-4738 | 2007-05-18 |
| 1598882789 | Stephen C Angeloff | Dentist | 3125 G Street, Eureka, CA 95503-5301 | 2007-03-23 |
| 1922147073 | Teresa Nmn Kosmac | Dentist | 3111 G St, Eureka, CA 95503 | 2007-02-05 |
| 1194873133 | Arthur G Romero | Dentist | 97 Hilltop Village Center Dr, Suite A&b, Eureka, MO 63025-1184 | 2007-01-08 |
| Find all providers in EUREKA | ||||
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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.