920 Lobo Canyon Grants Professional, LLC
Organization Active NPI General Practice Dentistry · Grants, NM
NPI 1477218964 · NPPES record last updated Nov 1, 2021
Key facts
- NPI
- 1477218964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- 920 LOBO CANYON GRANTS PROFESSIONAL, LLC
- Practice address
- 920 Lobo Canyon Rd
Grants, NM 87020-2173 - Phone
- (505) 722-4422
- NPI assigned
- Nov 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Peter Grumbos, DDS
- Title
- Dentist/Owner
- Phone
- (505) 722-4422
National Provider Directory
Locations
920 Lobo Canyon Rd
Ste 6
Grants, NM 87020
Phone (801) 580-4081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
920 Lobo Canyon Rd
Grants, NM 87020-2173
Mailing address
920 Lobo Canyon Rd
Grants, NM 87020-2173
Phone (505) 722-4422
Other names
- Sundance Dental Care of Grants
Other providers in Grants, NM
- 4 Corners HHC
- A to Z Children'S Dental Clinic, LLC
- Martha Abeyta
- Ken Abraham
- Adobe Foot and Ankle Specialists, P.C.
- Martha Alcocer
All providers in Grants, NM · General Practice Dentistry in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.