PETER GRUMBOS DDS RANDOLPH PLLC
NPI 1598475949
Dentist - General Practice in Charlotte, NC

Q: What is Peter Grumbos Dds Randolph PLLC's NPI number?

The NPI number for Peter Grumbos Dds Randolph PLLC is 1598475949. It was assigned to this organization in the NPPES registry on November 28, 2022.

Q: What is Peter Grumbos Dds Randolph PLLC's specialty?

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

Active since November 28, 2022

2711 RANDOLPH RD STE 205, CHARLOTTE, NC 28207(704) 377-2503(704) 377-6032 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Peter Grumbos Dds Randolph Pllc NPPES

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

PETER GRUMBOS DDS RANDOLPH PLLC (NPI 1598475949) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since November 2022. The organization lists Amy Brooks, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1598475949

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePETER GRUMBOS DDS RANDOLPH PLLC

Location Address2711 RANDOLPH RD STE 205Charlotte, NC 28207-2027

Mailing Address12200 W Finch AveMiddlesex, NC 27557-7427 · (252) 292-1349 · Fax (919) 278-2657

Phone(704) 377-2503

Fax(704) 377-6032

Organization SubpartNo

Authorized OfficialAmy BrooksCredentialing Manager · (252) 292-1349

Enumeration DateNovember 28, 2022

NPPES CertifiedNovember 28, 2022

✔ NPI 1598475949 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.

2711 RANDOLPH RD STE 205, Charlotte, NC 28207

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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

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

KEVIN LOUIS BERMAN

Dentist

2711 RANDOLPH RD STE 205
CHARLOTTE, NC 28207

Mecklenburg County (704) 377-2503

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 Randolph PLLC's NPI number?

The NPI number for Peter Grumbos Dds Randolph PLLC is 1598475949. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Peter Grumbos Dds Randolph PLLC located?

Peter Grumbos Dds Randolph PLLC is located at 2711 Randolph Rd Ste 205, Charlotte, NC 28207. The listed phone number is (704) 377-2503.

What is Peter Grumbos Dds Randolph 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 Randolph PLLC was last updated on November 28, 2022. 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.