MEDICARE: DR. NICHOLAS PETER GRIGGS DDS

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	12016	NC

General Provider Information

NPI Number	:	1013529437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS PETER GRIGGS DDS

Provider Business Mailing Address
First Line	:	376 CALVIN DR
Second Line	:
City	:	SEVEN HILLS
State	:	OH
Zip	:	44131-2853
Country	:	US
Telephone Number	:	330-671-9305
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 E ROYALTON RD
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-2549
Country	:	US
Telephone Number	:	440-546-0330
Fax Number	:

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

Provider Enumeration Date	:	08/18/2020
Last Update Date	:	03/25/2026

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