1661 W 2ND CORSICANA PROFESSIONAL, PLLC
NPI 1225673098
Dentist in Corsicana, TX

Q: What is 1661 W 2nd Corsicana Professional, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 15, 2019

1661 W 2ND AVE, CORSICANA, TX 75110(903) 872-1661 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2020, Nov 15, 2019 (2 updates tracked since 2019).

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About 1661 W 2nd Corsicana Professional, Pllc NPPES

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

1661 W 2ND CORSICANA PROFESSIONAL, PLLC (NPI 1225673098) is a healthcare organization registered as a dentist in Corsicana, Texas and active in the NPI registry since November 2019. The organization lists Peter Grumbos, Owner, as its authorized official.

NPPES Registry Identity

NPI1225673098

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business Name1661 W 2ND CORSICANA PROFESSIONAL, PLLC

Location Address1661 W 2ND AVECorsicana, TX 75110-4107

Mailing Address1661 W 2nd AveCorsicana, TX 75110-4107 · (903) 872-1661

Phone(903) 872-1661

Organization SubpartNo

Authorized OfficialPeter GrumbosOwner · (214) 259-7000

Enumeration DateNovember 15, 2019

Last NPPES UpdateApril 20, 20202 updates tracked since enumeration

NPPES CertifiedApril 20, 2020

✔ NPI 1225673098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1661 W 2ND AVE, Corsicana, TX 75110

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

1661 W 2ND CORSICANA SERVICES, LLC

Dentist (General Practice)