OAKWOOD SMILES PC NPI 1770724619

NPI Information

  • NPI: 1770724619
  • Provider Name: OAKWOOD SMILES PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4038 MUNDY MILL RD
    OAKWOOD, GA
    ZIP 30566
  • Phone: (770) 534-4292

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NPI Details

OAKWOOD SMILES PC is a general practice dentist in Oakwood, GA. The provider is 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. OAKWOOD SMILES PC NPI is 1770724619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4038 MUNDY MILL RD
OAKWOOD, GA
ZIP 30566-518
Phone: (770) 534-4292

The provider's authorized official is Sergey Gritsiv .
The authorized official title is President and has the following contact phone number (770) 534-4292.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 12/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN013149GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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