129 Plantation Groose Creek Professional, Llc

LBN: 129 Plantation Groose Creek Professional, Llc
129 Plantation Groose Creek Professional, Llc is an health care organization with primary practice located at 129 Plantation North Blvd Ste D , Goose Creek SC 29445-5776. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 129 Plantation Groose Creek Professional, Llc can be contacted via phone (843) 410-4920, or through Grumbos, Peter via phone (843) 410-4920.

Contact Information

Primary practice address
129 Plantation North Blvd Ste D Goose Creek SC 29445-5776
Phone: (843) 410-4920
Fax: (843) 410-4924
Website:
Map and Directions
Authorized official contact:
Name: Grumbos, Peter Doctor of Dental Surgery (DDS)
Phone: (843) 410-4920

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1487311296
LBN Legal business name 129 Plantation Groose Creek Professional, Llc
DBA Doing business as
Authorized official Grumbos, Peter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2021
Last updated Nov 29th, 2021 - about 3 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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