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Contact Information

BRANDON GRIFFIN, DMD
465 MEMORIAL DR
POCATELLO, ID83201-4008
 Phone: 208-282-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BRANDON GRIFFIN · (Male)

NPI Number 1598318792
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/17/2019
Last updated 07/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # D-5037
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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