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JACK D. GRIFFIN, JR. D.M.D., LAKE ST. LOUIS, LLC
NPI 1780134569
Dentist - General Practice in Lake St Louis, MO

Active since October 05, 2016
1000 LAKE SAINT LOUIS BLVD, LAKE ST LOUIS, MO 63367(314) 488-1201 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack D. Griffin, Jr. D.m.d., Lake St. Louis, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK D. GRIFFIN, JR. D.M.D., LAKE ST. LOUIS, LLC (NPI 1780134569) is a healthcare organization registered as a general practice in Lake St Louis, Missouri and active in the NPI registry since October 2016. The organization lists Jack Griffin, Owner, as its authorized official.

NPPES Registry Identity

NPI1780134569
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACK D. GRIFFIN, JR. D.M.D., LAKE ST. LOUIS, LLC
Location Address1000 LAKE SAINT LOUIS BLVDLake St Louis, MO 63367-1340
Mailing Address336 Barn Side LnEureka, MO 63025-1650
Phone(314) 488-1201
Organization SubpartNo
Authorized OfficialJack GriffinOwner · (314) 488-1201
Enumeration DateOctober 5, 2016
✔ NPI 1780134569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 014900
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1000 LAKE SAINT LOUIS BLVD, Lake St Louis, MO 63367
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHAUNA CLARK GILBERT LCSW
Social Worker (Clinical)
1000 LAKE SAINT LOUIS BLVD, SUITE 222
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 265-1004
STEPHANIE DENTON LLC
Chiropractor
1000 LAKE SAINT LOUIS BLVD, SUITE 100
LAKE ST LOUIS, MO 63367
St. Charles County (636) 695-4570
JOHN DEANGELIS LLC
Chiropractor
1000 LAKE SAINT LOUIS BLVD, SUITE 100
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 695-4570
MRS. MARIE ERIN CARMI MA LPC
Counselor (Professional)
1000 LAKE SAINT LOUIS BLVD, STE 100
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 561-5511
DR. STEPHANIE HEAVENER DENTON D.C.
Chiropractor
1000 LAKE SAINT LOUIS BLVD, SUITE 100
LAKE ST LOUIS, MO 63367
St. Charles County (636) 695-4570
MR. ZSOMBOR PETER FLORIAN MA, LP
Psychologist
1000 LAKE SAINT LOUIS BLVD, STE 252
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 625-2409
RICK CAVINS
Psychologist
1000 LAKE SAINT LOUIS BLVD, SUITE 134
LAKE ST LOUIS, MO 63367
St. Charles County (314) 616-6699
MRS. VICKY LYNN GLASS L.C.S.W.
Social Worker (Clinical)
1000 LAKE SAINT LOUIS BLVD, SUITE 261
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 561-0268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack D. Griffin, Jr. D.M.D., Lake St. Louis, LLC's NPI number?

The NPI number for Jack D. Griffin, Jr. D.M.D., Lake St. Louis, LLC is 1780134569. It was assigned to this organization in the NPPES registry on October 5, 2016.

Where is Jack D. Griffin, Jr. D.M.D., Lake St. Louis, LLC located?

Jack D. Griffin, Jr. D.M.D., Lake St. Louis, LLC is located at 1000 Lake Saint Louis Blvd, Lake St Louis, MO 63367. The listed phone number is (314) 488-1201.

What is Jack D. Griffin, Jr. D.M.D., Lake St. Louis, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jack D. Griffin, Jr. D.M.D., Lake St. Louis, LLC was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.