Healthcare Provider Details

I. General information

NPI: 1023876117
Provider Name (Legal Business Name): ALEXA SIMONE GRIFFITHS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5699 INNOVATION DR
DUBLIN OH
43016-3312
US

IV. Provider business mailing address

5699 INNOVATION DR
DUBLIN OH
43016-3312
US

V. Phone/Fax

Practice location:
  • Phone: 614-215-9488
  • Fax:
Mailing address:
  • Phone: 614-215-9488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number30.027567
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: