IndividualActive
Trevor Griffitts, DMD
NPI 1609191253 · Oral and Maxillofacial Surgery (Dentist) · Hayden, ID
Provider details
- NPI number
- 1609191253
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D-4563-OS (ID)
Specialties & taxonomies
Dental Providers
Practice location
8724 N Wayne Dr
Hayden, ID 83835-5179
Phone: (208) 667-0824
Fax: (208) 667-1216
Approximate (ZIP-level) locationGet directions
Mailing address
8724 N Wayne Dr
Hayden, ID 83835-5179
Registry dates
- Enumerated
- 2010-04-06
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.