MEDICARE: DR. CARL M GRIFFITH 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	122300000X	Dentist	26411	CA

General Provider Information

NPI Number	:	1679752992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL M GRIFFITH DDS

Provider Business Mailing Address
First Line	:	300 PRISON RD
Second Line	:
City	:	REPRESA
State	:	CA
Zip	:	95671-3001
Country	:	US
Telephone Number	:	916-985-2561
Fax Number	:	916-608-3105

Provider Business Practice Location Address
First Line	:	300 PRISON RD
Second Line	:
City	:	REPRESA
State	:	CA
Zip	:	95671-3001
Country	:	US
Telephone Number	:	916-985-2561
Fax Number	:	916-608-3105

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

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	11/02/2007

Similar Medicare Providers

1275557431 — BENJAMIN LEE M.D.
Practice Location Address:

300 PRISON RD
REPRESA, CA
95671-3001

Practice Phone: 916-985-2561
Practice Fax:

1689766081 — DR. ISIDRO ACOSTA CARDENO M.D.
Practice Location Address:

300 PRISON RD
REPRESA, CA
95671-3001

Practice Phone: 916-985-2561
Practice Fax: 916-351-3001

1932296118 — MR. PAUL EDWARD LANDMAN LCSW
Practice Location Address:

300 PRISON RD , CSP SACRAMENTO - EOP A YARD
REPRESA, CA
95671-3001

Practice Phone: 916-985-8610
Practice Fax:

1760560494 — DR. BENNETT FEINBERG MD
Practice Location Address:

300 PRISON RD , MEDICAL OFFICES - FOLSOM STATE PRISON
REPRESA, CA
95671-3001

Practice Phone: 916-985-2561
Practice Fax:

1447466057 — DR. JOHN PHILLIP DUNLAP JR. D.O.
Practice Location Address:

300 PRISON RD , FOLSOM STATE PRISON-MEDICAL DEPARTMENT
REPRESA, CA
95671-3001

Practice Phone: 916-985-2561
Practice Fax:

1356552491 — STEPHEN LEE KANSIER
Practice Location Address:

300 PRISON RD
REPRESA, CA
95671-3001

Practice Phone: 916-985-2561
Practice Fax: 916-351-3001

Directions to “ DR. CARL M GRIFFITH DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.