OrganizationActive
110 Regent Court College Professional PLLC
NPI 1366173551 · General Practice Dentistry · State College, PA
Provider details
- NPI number
- 1366173551
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Peter Grumbos, Owner/Dentist
Practice location
110 Regent Ct Ste 100
State College, PA 16801-7966
Phone: (814) 231-0110
Fax: (814) 231-0118
Mailing address
110 Regent Ct Ste 100
State College, PA 16801-7966
Registry dates
- Enumerated
- 2022-06-20
- Last updated
- 2022-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.