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PETER GRUMBOS DDS SHALLOTTE PLLC NPI 1336846906


NPI Information

NPI: 1336846906
Provider Name: PETER GRUMBOS DDS SHALLOTTE PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
343 WHITEVILLE RD NW
SHALLOTTE, NC
ZIP 28470
Phone: (910) 754-4507
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PETER GRUMBOS DDS SHALLOTTE PLLC is a general practice dentist in Shallotte, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PETER GRUMBOS DDS SHALLOTTE PLLC NPI is 1336846906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

343 WHITEVILLE RD NW
SHALLOTTE, NC
ZIP 28470-507
Phone: (910) 754-4507

The provider's authorized official is Amy Brooks .
The authorized official title is Credentialing Manager and has the following contact phone number (252) 292-1349.

The enumeration date for this NPI number is 2/14/2023 and was last updated on 4/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.