OrganizationActive
1601 2nd Street Gallup Professional, LLC
NPI 1386309870 · General Practice Dentistry · Gallup, NM
1601 2nd Street Gallup Professional, LLC is a General Practice Dentistry organization in Gallup, NM (NPI 1386309870).
Provider details
- NPI number
- 1386309870
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Peter Grmbos, Owner/Dentist(505) 722-4422
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1601 S Second St
Gallup, NM 87301-5816
Phone: (505) 722-4422
Fax: (505) 722-2060
Street-level locationGet directions
Mailing address
1601 S Second St
Gallup, NM 87301-5816
Other names (DBA / former)
- Doing business as
- Sundance Dental Care of Gallup
Registry dates
- Enumerated
- 2021-11-01
- Last updated
- 2021-11-01
- Certified
- 2021-10-12
Frequently asked questions
- What is 1601 2nd Street Gallup Professional, LLC's NPI number?
- 1601 2nd Street Gallup Professional, LLC's National Provider Identifier (NPI) is 1386309870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1601 2nd Street Gallup Professional, LLC?
- 1601 2nd Street Gallup Professional, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 1601 2nd Street Gallup Professional, LLC located?
- 1601 2nd Street Gallup Professional, LLC's practice location on file with NPPES is 1601 S Second St, Gallup, NM 87301-5816.
- What is 1601 2nd Street Gallup Professional, LLC's phone number?
- The practice phone number listed in the NPPES registry for 1601 2nd Street Gallup Professional, LLC is (505) 722-4422.
- Who is the authorized official for 1601 2nd Street Gallup Professional, LLC?
- The authorized official listed on 1601 2nd Street Gallup Professional, LLC's NPPES record is Peter Grmbos, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1601 2nd Street Gallup Professional, LLC's NPI active?
- Yes — 1601 2nd Street Gallup Professional, LLC's NPI (1386309870) is active in the NPPES registry as of the last update on 2021-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.