1724 State Summerville Professional, LLC
NPI 1730847724 · General Practice Dentistry · Summerville, SC
1724 State Summerville Professional, LLC is a General Practice Dentistry organization in Summerville, SC (NPI 1730847724).
Provider details
- NPI number
- 1730847724
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Peter Grumbos, Owner(843) 352-4454
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Cane Bay Family Dentistry
Registry dates
- Enumerated
- 2021-12-07
- Last updated
- 2021-12-07
- Certified
- 2021-11-29
Frequently asked questions
- What is 1724 State Summerville Professional, LLC's NPI number?
- 1724 State Summerville Professional, LLC's National Provider Identifier (NPI) is 1730847724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1724 State Summerville Professional, LLC?
- 1724 State Summerville Professional, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 1724 State Summerville Professional, LLC located?
- 1724 State Summerville Professional, LLC's practice location on file with NPPES is 1724 State Rd Unit 4d, Summerville, SC 29486-2842.
- What is 1724 State Summerville Professional, LLC's phone number?
- The practice phone number listed in the NPPES registry for 1724 State Summerville Professional, LLC is (843) 352-4454.
- Who is the authorized official for 1724 State Summerville Professional, LLC?
- The authorized official listed on 1724 State Summerville Professional, LLC's NPPES record is Peter Grumbos, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1724 State Summerville Professional, LLC's NPI active?
- Yes — 1724 State Summerville Professional, LLC's NPI (1730847724) is active in the NPPES registry as of the last update on 2021-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.