OrganizationActive
Jack D. Griffin, Jr. D.M.D., Lake St. Louis, LLC
NPI 1780134569 · General Practice Dentistry · Lake St Louis, MO
Provider details
- NPI number
- 1780134569
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jack Griffin, Owner(314) 488-1201
- License
- 014900 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Lake Saint Louis Blvd
Lake St Louis, MO 63367-1340
Phone: (314) 488-1201
Approximate (ZIP-level) locationGet directions
Mailing address
336 Barn Side Ln
Eureka, MO 63025-1650
Registry dates
- Enumerated
- 2016-10-05
- Last updated
- 2016-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.