MEDICARE: BRIAN GRIFFITHS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D7088	AZ

General Provider Information

NPI Number	:	1609921964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN GRIFFITHS

Provider Business Mailing Address
First Line	:	1333 ELDRIDGE PKWY
Second Line	:	#1432
City	:	HOUSTON
State	:	TX
Zip	:	77077-1610
Country	:	US
Telephone Number	:	480-370-3860
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 ELDRIDGE PKWY
Second Line	:	#1432
City	:	HOUSTON
State	:	TX
Zip	:	77077-1610
Country	:	US
Telephone Number	:	480-370-3860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	03/29/2013

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Directions to “ BRIAN GRIFFITHS ” Practice Location

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