100 South Bloomfield Professional, Llc

LBN: 100 South Bloomfield Professional, Llc
100 South Bloomfield Professional, Llc is an health care organization with primary practice located at 100 S 1St St , Bloomfield NM 87413-6242. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 100 South Bloomfield Professional, Llc can be contacted via phone (505) 632-3344, or through Grumbos, Peter via phone (505) 632-3344.

Contact Information

Primary practice address
100 S 1St St Bloomfield NM 87413-6242
Phone: (505) 632-3344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grumbos, Peter Doctor of Dental Surgery (DDS)
Phone: (505) 632-3344

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1912519067
LBN Legal business name 100 South Bloomfield Professional, Llc
DBA Doing business as
Authorized official Grumbos, Peter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2020
Last updated Aug 20th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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