Individual provider · Type 1 NPI
Gabriel Leonard Grisham, DMD
Oral and Maxillofacial Surgery (Dentist) · Woodstock, GA
NPI number
1720570393
Active
Practice location
149 Towne Lake Pkwy Ste 100
Woodstock, GA 30188-4860
Other practice locations
- 5283 Bells Ferry Rd Ste 200, Acworth, GA 30102-7566 · (770) 516-7153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DEN03731 (RI) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN124162 (GA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401416112 (VA) |
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 Woodstock
About NPI 1720570393
Gabriel Leonard Grisham, DMD's National Provider Identifier is 1720570393, issued on May 30, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Woodstock, GA. The record was last updated on Jul 29, 2026.