Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GABRIEL LEONARD GRISHAM DMD
NPI 1720570393
Dentist - Oral and Maxillofacial Surgery in Woodstock, GA

Q: What is Gabriel Grisham's NPI number?

The NPI number for Gabriel Grisham is 1720570393. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Q: What is Gabriel Grisham'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 Gabriel Grisham was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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 May 30, 2018

149 TOWNE LAKE PKWY STE 100, WOODSTOCK, GA 30188(770) 928-2095 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, Sep 12, 2024, Aug 23, 2023 (3 updates tracked since 2023).

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About Dr. Gabriel Leonard Grisham Dmd NPPES

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

DR. GABRIEL LEONARD GRISHAM DMD (NPI 1720570393) is an individual oral and maxillofacial surgery provider in Woodstock, Georgia, licensed in Georgia (DN124162) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1720570393

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. GABRIEL LEONARD GRISHAMCredential: DMD

Location Address149 TOWNE LAKE PKWY STE 100Woodstock, GA 30188-4860

Mailing Address149 Towne Lake Pkwy Ste 100Woodstock, GA 30188-4860 · (770) 928-2095

Phone(770) 928-2095

Sole ProprietorNo

Enumeration DateMay 30, 2018

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1720570393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in GA · DN124162✔ Licensed in RI · DEN03731✔ Licensed in VA · 0401416112

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.

149 TOWNE LAKE PKWY STE 100, Woodstock, GA 30188

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Gabriel Grisham's NPI number?

The NPI number for Gabriel Grisham is 1720570393. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Gabriel Grisham located?

Gabriel Grisham practices at 149 Towne Lake Pkwy Ste 100, Woodstock, GA 30188. The listed phone number is (770) 928-2095.

What is Gabriel Grisham's specialty?

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

What insurance does Gabriel Grisham accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 1 other insurer list Gabriel Grisham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gabriel Grisham was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.