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129 PLANTATION GROOSE CREEK PROFESSIONAL, LLC
NPI 1487311296
Dentist - General Practice in Goose Creek, SC

Active since November 29, 2021
129 PLANTATION NORTH BLVD STE D, GOOSE CREEK, SC 29445(843) 410-4920(843) 410-4924 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 129 Plantation Groose Creek Professional, Llc NPPES

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

129 PLANTATION GROOSE CREEK PROFESSIONAL, LLC (NPI 1487311296), doing business as Smile Care 360, is a healthcare organization registered as a general practice in Goose Creek, South Carolina and active in the NPI registry since November 2021. The organization lists Peter Grumbos, Owner, as its authorized official.

NPPES Registry Identity

NPI1487311296
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name129 PLANTATION GROOSE CREEK PROFESSIONAL, LLC
Location Address129 PLANTATION NORTH BLVD STE DGoose Creek, SC 29445-5776
Mailing Address129 Plantation North Blvd Ste DGoose Creek, SC 29445-5776 · (843) 410-4920 · Fax (843) 410-4924
Phone(843) 410-4920
Fax(843) 410-4924
Organization SubpartNo
Authorized OfficialPeter GrumbosOwner · (843) 410-4920
Enumeration DateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1487311296 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.
129 PLANTATION NORTH BLVD STE D, Goose Creek, SC 29445
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Other Names 1

Doing Business AsSmile Care 360

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.

FAMILY DENTAL HEALTH OF OAKBROOK
Dentist (General Practice)
129 PLANTATION NORTH BLVD STE D
GOOSE CREEK, SC 29445
Berkeley County (843) 410-4920
DR. MACKENZIE GRACE LONG DMD
Dentist (General Practice)
129 PLANTATION NORTH BLVD STE D
GOOSE CREEK, SC 29445
Berkeley County (843) 410-4920

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 129 Plantation Groose Creek Professional, LLC's NPI number?

The NPI number for 129 Plantation Groose Creek Professional, LLC is 1487311296. It was assigned to this organization in the NPPES registry on November 29, 2021. The provider is doing business as Smile Care 360.

Where is 129 Plantation Groose Creek Professional, LLC located?

129 Plantation Groose Creek Professional, LLC is located at 129 Plantation North Blvd Ste D, Goose Creek, SC 29445. The listed phone number is (843) 410-4920.

What is 129 Plantation Groose Creek 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 129 Plantation Groose Creek Professional, LLC was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.