920 LOBO CANYON GRANTS PROFESSIONAL, LLC - NPI 1477218964

Q: What is 920 Lobo Canyon Grants Professional, LLC's specialty?

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

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About 920 Lobo Canyon Grants Professional, Llc NPPES

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

920 LOBO CANYON GRANTS PROFESSIONAL, LLC (NPI 1477218964), doing business as Sundance Dental Care Of Grants, is a healthcare organization registered as a general practice in Grants, New Mexico and active in the NPI registry since November 2021. The organization lists Peter Grumbos, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1477218964

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business Name920 LOBO CANYON GRANTS PROFESSIONAL, LLC

Location Address920 LOBO CANYON RDGrants, NM 87020-2173

Mailing Address920 Lobo Canyon RdGrants, NM 87020-2173 · (505) 722-4422

Phone(505) 722-4422

Organization SubpartNo

Authorized OfficialPeter GrumbosDentist/owner · (505) 722-4422

Enumeration DateNovember 1, 2021

NPPES CertifiedOctober 12, 2021

✔ NPI 1477218964 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.

920 LOBO CANYON RD, Grants, NM 87020

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Other Names 1

Doing Business AsSundance Dental Care Of Grants

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 3

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

SUNDANCE DENTAL CARE OF GRANTS

Dentist (General Practice)

920 LOBO CANYON RD
GRANTS, NM 87020

Cibola County (505) 722-4422

BETHPHAGE

Community/Behavioral Health

920 LOBO CANYON RD, SUITE 5A
GRANTS, NM 87020

Cibola County (505) 287-9333

BETHPHAGE MISSION WEST

Specialist

920 LOBO CANYON RD, SUITE 5A
GRANTS, NM 87020

Cibola County (505) 287-9333

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 920 Lobo Canyon Grants Professional, LLC's NPI number?

The NPI number for 920 Lobo Canyon Grants Professional, LLC is 1477218964. It was assigned to this organization in the NPPES registry on November 1, 2021. The provider is doing business as Sundance Dental Care of Grants.

Where is 920 Lobo Canyon Grants Professional, LLC located?

920 Lobo Canyon Grants Professional, LLC is located at 920 Lobo Canyon Rd, Grants, NM 87020. The listed phone number is (505) 722-4422.

What is 920 Lobo Canyon Grants Professional, LLC'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 920 Lobo Canyon Grants Professional, LLC was last updated on November 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.