Peter Grumbos Dds Shallotte Pllc | |
343 Whiteville Rd Nw Shallotte NC 28470-4507 | |
(910) 754-4507 | |
Not Available |
Full Name | Peter Grumbos Dds Shallotte Pllc |
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Speciality | Dentist - General Practice |
Location | 343 Whiteville Rd Nw, Shallotte, North Carolina |
Authorized Official Name and Position | Amy Brooks (CREDENTIALING MANAGER) |
Authorized Official Contact | 2522921349 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peter Grumbos Dds Shallotte Pllc 343 Whiteville Rd Nw Shallotte NC 28470-4507 Ph: () - | Peter Grumbos Dds Shallotte Pllc 343 Whiteville Rd Nw Shallotte NC 28470-4507 Ph: (910) 754-4507 |
NPI Number | 1336846906 |
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Provider Enumeration Date | 02/14/2023 |
Last Update Date | 04/20/2023 |
Identifier | Type | State | Issuer |
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1336846906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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