1661 W 2ND CORSICANA SERVICES, LLC
NPI 1083234744
Dentist - General Practice in Corsicana, TX

Active since April 23, 2020
1661 W 2ND AVE, CORSICANA, TX 75110(903) 872-1661 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 1661 W 2nd Corsicana Services, Llc NPPES

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

1661 W 2ND CORSICANA SERVICES, LLC (NPI 1083234744) is a healthcare organization registered as a general practice in Corsicana, Texas and active in the NPI registry since April 2020. The organization lists Peter Grumbos, Owner, as its authorized official.

NPPES Registry Identity

NPI1083234744
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name1661 W 2ND CORSICANA SERVICES, LLC
Location Address1661 W 2ND AVECorsicana, TX 75110-4107
Mailing Address1661 W 2nd AveCorsicana, TX 75110-4107 · (903) 872-1661
Organization SubpartNo
Authorized OfficialPeter GrumbosOwner · (903) 872-1661
Enumeration DateApril 23, 2020
NPPES CertifiedApril 23, 2020
NPI 1083234744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

1661 W 2ND AVE, Corsicana, TX 75110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1661 W 2ND AVE
CORSICANA, TX 75110
Dentist
1661 W 2ND AVE
CORSICANA, TX 75110
Dentist
1661 W 2ND AVE
CORSICANA, TX 75110
Dentist (General Practice)
1661 W 2ND AVE
CORSICANA, TX 75110
Dentist (General Practice)
1661 W 2ND AVE
CORSICANA, TX 75110
Dentist (General Practice)
1661 W 2ND AVE
CORSICANA, TX 75110

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 1661 W 2nd Corsicana Services, LLC's NPI number?

The NPI number for 1661 W 2nd Corsicana Services, LLC is 1083234744. It was assigned to this organization in the NPPES registry on April 23, 2020.

Where is 1661 W 2nd Corsicana Services, LLC located?

1661 W 2nd Corsicana Services, LLC is located at 1661 W 2nd Ave, Corsicana, TX 75110. The listed phone number is (903) 872-1661.

What is 1661 W 2nd Corsicana Services, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does 1661 W 2nd Corsicana Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list 1661 W 2nd Corsicana Services, LLC 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 1661 W 2nd Corsicana Services, LLC was last updated on April 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.