Griffin Lavelle Deen JR.
Dentist - General Practice
122 E 21st Ave
Covington
, Louisiana 70433-2814
Griffin Lavelle Deen JR.
Dentist - General Practice
122 E 21st Ave
Covington
, Louisiana 70433-2814
(985) 867-9169
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Griffin Lavelle Deen JR.
- 122 E 21st Ave
- Covington, LA
- Zip : 70433-2814
- Fax : (985) 867-9169
- Phone : (985) 867-9122
Second Address
- Griffin Lavelle Deen JR.
- 122 E 21st Ave
- Covington, LA
- Zip : 70433-2814
- Fax : (985) 867-9169
- Phone : (985) 867-9122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 4346 | LA |
| Y | 213EG0000X | General Practice | 4346 | LA |
National Provider Identifier
| NPI | 1003811753 |
|---|---|
| Provider Name | Griffin Lavelle Deen JR. |
| First Address | Covington, LA 70433-2814 |
| Second Address | Covington, LA 70433-2814 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1843466 | (05) | LA |
| A2119 | BLUE CROSS/BLUE SHIELD (01) | LA |
| V04346 | BLUE CROSS/BLUE SHIELD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.