730 New Albany Professional PLLC
Organization Active NPI General Practice Dentistry · New Albany, MS
NPI 1710691241 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1710691241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- 730 NEW ALBANY PROFESSIONAL PLLC
- Practice address
- 731 Coulter Dr
New Albany, MS 38652 - Phone
- (662) 534-4397
- Fax
- (662) 534-6599
- NPI assigned
- Jan 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Peter Grumbos, DDS
- Title
- Owner
- Phone
- (662) 534-4397
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 730 New Albany Professional PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
731 Coulter Dr
New Albany, MS 38652
Mailing address
731 Coulter Dr
New Albany, MS 38652
Phone (662) 534-4397
Other names
- Rowan Family Dentistry
Other providers in New Albany, MS
- 730 New Albany Professional PLLC
- A Better Direction, LLC
- Ginger Harrell Adair
- Sonya Robbins Adkins
- Advanced Obstetrics & Gynecology PC
All providers in New Albany, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. 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.