SERGEY VALERIEYVICH GRITSIV DMD
NPI 1104893742
Dentist in Oakwood, GA

Q: What is Sergey Gritsiv's NPI number?

The NPI number for Sergey Gritsiv is 1104893742. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Q: What is Sergey Gritsiv's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sergey Gritsiv was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 02, 2006PECOS Enrolled

4038 MUNDY MILL RD, OAKWOOD, GA 30566(770) 534-4292 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sergey Valerieyvich Gritsiv Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGEY VALERIEYVICH GRITSIV DMD (NPI 1104893742) is an individual dentist in Oakwood, Georgia, licensed in Georgia (DN013149) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104893742

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSERGEY VALERIEYVICH GRITSIVCredential: DMD

Location Address4038 MUNDY MILL RDOakwood, GA 30566-2518

Mailing AddressPo Box 19Oakwood, GA 30566-0001 · (770) 534-4292

Phone(770) 534-4292

Sole ProprietorYes

Enumeration DateMarch 2, 2006

Last NPPES UpdateDecember 7, 2012

✔ NPI 1104893742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GA · DN013149

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4038 MUNDY MILL RD, Oakwood, GA 30566

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sergey Valerieyvich Gritsiv Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OAKWOOD SMILES PC

Dentist (General Practice)

4038 MUNDY MILL RD
OAKWOOD, GA 30566

Hall County (770) 534-4292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergey Gritsiv's NPI number?

The NPI number for Sergey Gritsiv is 1104893742. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Sergey Gritsiv located?

Sergey Gritsiv practices at 4038 Mundy Mill Rd, Oakwood, GA 30566. The listed phone number is (770) 534-4292.

What is Sergey Gritsiv's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sergey Gritsiv enrolled in Medicare?

Yes. Sergey Gritsiv is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sergey Gritsiv was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.