MEDICARE: DR. GRIFF M LINDSEY DMD

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	DN012561	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215144134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRIFF M LINDSEY DMD

Provider Business Mailing Address
First Line	:	1150 WARD ST W
Second Line	:	MAGNOLIA PLACE B2
City	:	DOUGLAS
State	:	GA
Zip	:	31533-1902
Country	:	US
Telephone Number	:	912-384-7400
Fax Number	:	912-384-7414

Provider Business Practice Location Address
First Line	:	1150 WARD ST W
Second Line	:	MAGNOLIA PLACE B2
City	:	DOUGLAS
State	:	GA
Zip	:	31533-1902
Country	:	US
Telephone Number	:	912-384-7400
Fax Number	:	912-384-7414

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	07/08/2007

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