Healthcare Provider Details

I. General information

NPI: 1346537958
Provider Name (Legal Business Name): AUSTIN P GRIFFITH D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2011
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 MATHESON ST
HEALDSBURG CA
95448-4118
US

IV. Provider business mailing address

4756 WOODVIEW DR
SANTA ROSA CA
95405-8748
US

V. Phone/Fax

Practice location:
  • Phone: 707-433-8888
  • Fax:
Mailing address:
  • Phone: 707-477-6332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number60480
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: