OrganizationActive
129 Plantation Groose Creek Professional, LLC
NPI 1487311296 · General Practice Dentistry · Goose Creek, SC
Provider details
- NPI number
- 1487311296
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Peter Grumbos, Owner
Practice location
129 Plantation North Blvd Ste D
Goose Creek, SC 29445-5776
Phone: (843) 410-4920
Fax: (843) 410-4924
Mailing address
129 Plantation North Blvd Ste D
Goose Creek, SC 29445-5776
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.