Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack D. Griffin, Jr DMD, Lake St Louis, LLC

Organization General Practice Dentistry · NPI 1780134569

Jack D. Griffin, Jr DMD, Lake St Louis, LLC is a General Practice Dentistry in Lake St Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Lake Saint Louis Blvd
Lake St Louis, MO 63367-1340
Phone: (314) 488-1201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 014900 (MO)

Record details

NPI number1780134569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Griffin — Owner · (314) 488-1201
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016
Mailing address336 Barn Side Ln, Eureka, MO 63025-1650

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