100 South Bloomfield Professional, Llc
Dentist - General Practice
About 100 South Bloomfield Professional, Llc
100 South Bloomfield Professional, Llc is a healthcare organization providing Dentist - General Practice services, with specialized expertise in General Practice, registered under National Provider Identifier (NPI) number 1912519067.
The authorized official for 100 South Bloomfield Professional, Llc is PETER GRUMBOS. The organization is headquartered at 100 S 1ST ST, Bloomfield, New Mexico 87413. The main office can be reached at (505) 632-3344. 100 South Bloomfield Professional, Llc has been NPI-registered since 2020.
Locations & Contact
Primary Location
- Address
- 100 S 1ST ST
- City
- Bloomfield
- State
- New Mexico
- ZIP
- 87413-6242
- Phone
- (505) 632-3344
Authorized Official
- Name
- PETER GRUMBOS
Mailing Address
- Address
- 100 S 1ST ST
- City
- BLOOMFIELD
- State
- NM
- ZIP
- 874136242
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Dentist - General Practice
- Classification
- Dentist
- Specialization
- General Practice
- Taxonomy Code
- 1223G0001X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is 100 South Bloomfield Professional, Llc's NPI number?
What does 100 South Bloomfield Professional, Llc specialize in?
Where is 100 South Bloomfield Professional, Llc located?
Does 100 South Bloomfield Professional, Llc accept Medicare?
Does 100 South Bloomfield Professional, Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. 100 South Bloomfield Professional, Llc holds NPI 1912519067, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.