DR. SANFORD E. GRUSKIN D.D.S., M.S.D.
NPI 1639299704
Dentist - Oral and Maxillofacial Surgery in Jonesboro, GA

Q: What is Sanford Gruskin's NPI number?

The NPI number for Sanford Gruskin is 1639299704. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Q: What is Sanford Gruskin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Sanford Gruskin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 30, 2007

259 ARROWHEAD BLVD STE A, JONESBORO, GA 30236(770) 471-4196(770) 477-0505 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Sanford E. Gruskin D.d.s., M.s.d. NPPES

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

DR. SANFORD E. GRUSKIN D.D.S., M.S.D. (NPI 1639299704) is an individual oral and maxillofacial surgery provider in Jonesboro, Georgia, licensed in Georgia (7571) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1639299704

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. SANFORD E. GRUSKINCredential: D.D.S., M.S.D.

Location Address259 ARROWHEAD BLVD STE AJonesboro, GA 30236-1167

Mailing Address259 Arrowhead Blvd Ste AJonesboro, GA 30236-1167 · (770) 471-4196 · Fax (770) 477-0505

Phone(770) 471-4196

Fax(770) 477-0505

Sole ProprietorNo

Enumeration DateMarch 30, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639299704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in GA · 7571

Definition

An oral and maxillofacial surgery dentist specialized in 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.

259 ARROWHEAD BLVD STE A, Jonesboro, GA 30236

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Other Identifiers 2

Medicare UPINT97613

Medicare ID-Type Unspecified70029419DA

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 Sanford Gruskin's NPI number?

The NPI number for Sanford Gruskin is 1639299704. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Sanford Gruskin located?

Sanford Gruskin practices at 259 Arrowhead Blvd Ste A, Jonesboro, GA 30236. The listed phone number is (770) 471-4196.

What is Sanford Gruskin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Sanford Gruskin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.