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PETER GRUMBOS DDS SHALLOTTE PLLC
NPI 1336846906
Dentist - General Practice in Shallotte, NC

Active since February 14, 2023
343 WHITEVILLE RD NW, SHALLOTTE, NC 28470(910) 754-4507 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Grumbos Dds Shallotte Pllc NPPES

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

PETER GRUMBOS DDS SHALLOTTE PLLC (NPI 1336846906) is a healthcare organization registered as a general practice in Shallotte, North Carolina and active in the NPI registry since February 2023. The organization lists Amy Brooks, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1336846906
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETER GRUMBOS DDS SHALLOTTE PLLC
Location Address343 WHITEVILLE RD NWShallotte, NC 28470-4507
Mailing Address343 Whiteville Rd NwShallotte, NC 28470-4507
Phone(910) 754-4507
Organization SubpartNo
Authorized OfficialAmy BrooksCredentialing Manager · (252) 292-1349
Enumeration DateFebruary 14, 2023
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1336846906 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.
343 WHITEVILLE RD NW, Shallotte, NC 28470
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. ETHAN KYLE CAUDELL DMD
Dentist
343 WHITEVILLE RD NW
SHALLOTTE, NC 28470
Brunswick County (910) 754-6718
NATHAN TYLER ASKEW DDS
Dentist
343 WHITEVILLE RD NW
SHALLOTTE, NC 28470
Brunswick County (910) 754-4507

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 Peter Grumbos Dds Shallotte PLLC's NPI number?

The NPI number for Peter Grumbos Dds Shallotte PLLC is 1336846906. It was assigned to this organization in the NPPES registry on February 14, 2023.

Where is Peter Grumbos Dds Shallotte PLLC located?

Peter Grumbos Dds Shallotte PLLC is located at 343 Whiteville Rd NW, Shallotte, NC 28470. The listed phone number is (910) 754-4507.

What is Peter Grumbos Dds Shallotte PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Peter Grumbos Dds Shallotte PLLC was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.