Individual provider · Type 1 NPI
Trevor Griffitts, DMD
Oral and Maxillofacial Surgery (Dentist) · Hayden, ID
NPI number
1609191253
Active
Practice location
8724 N Wayne Dr
Hayden, ID 83835-5179
Fax (208) 667-1216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D-4563-OS (ID) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1609191253
Trevor Griffitts, DMD's National Provider Identifier is 1609191253, issued on Apr 6, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hayden, ID. The record was last updated on May 2, 2024.