Individual provider · Type 1 NPI
Sanford E. Gruskin, DDS, M.S.D.
Oral and Maxillofacial Surgery (Dentist) · Jonesboro, GA
NPI number
1639299704
Active
Practice location
259 Arrowhead Blvd Ste A
Jonesboro, GA 30236-1167
Fax (770) 477-0505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7571 (GA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Jonesboro
About NPI 1639299704
Sanford E. Gruskin, DDS, M.S.D.'s National Provider Identifier is 1639299704, issued on Mar 30, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jonesboro, GA. The record was last updated on Jul 8, 2007.