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

Individual provider Dentist · NPI 1104893742

Sergey Valerieyvich Gritsiv, DMD is a Dentist in Oakwood, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4038 Mundy Mill Rd
Oakwood, GA 30566-2518
Phone: (770) 534-4292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN013149 (GA)

Record details

NPI number1104893742
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 2, 2006
Last updated in NPPESDecember 7, 2012

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