Peter Grumbos DDS Shallotte Pllc
NPI #1336846906 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1336846906
- Entity Type
- Organization
- Organization Name
- Peter Grumbos DDS Shallotte Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 14, 2023
- Last Updated
- Apr 20, 2023
Practice Location
- Address
- 343 WHITEVILLE RD NW
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4507
- Phone
- (910) 754-4507
Authorized Official
- Name
- AMY BROOKS
- Title
- CREDENTIALING MANAGER
- Phone
- (252) 292-1349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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