Provider Demographics
NPI:1639373830
Name:GRIFFEE, JUSTIN PATRICK (DMD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:PATRICK
Last Name:GRIFFEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17854 CADENA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1064
Mailing Address - Country:US
Mailing Address - Phone:617-519-1012
Mailing Address - Fax:
Practice Address - Street 1:3333 NORTHLAKE BLVD STE 6
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1717
Practice Address - Country:US
Practice Address - Phone:561-776-9984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18151122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty