100 South Bloomfield Professional, LLC
NPI 1912519067 · General Practice Dentistry · Bloomfield, NM
100 South Bloomfield Professional, LLC is a General Practice Dentistry organization in Bloomfield, NM (NPI 1912519067).
Provider details
- NPI number
- 1912519067
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Peter Grumbos, Owner(505) 632-3344
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- Sundance Dental Care of Bloomfield
Registry dates
- Enumerated
- 2020-08-20
- Last updated
- 2020-08-20
- Certified
- 2020-08-20
Frequently asked questions
- What is 100 South Bloomfield Professional, LLC's NPI number?
- 100 South Bloomfield Professional, LLC's National Provider Identifier (NPI) is 1912519067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 100 South Bloomfield Professional, LLC?
- 100 South Bloomfield Professional, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 100 South Bloomfield Professional, LLC located?
- 100 South Bloomfield Professional, LLC's practice location on file with NPPES is 100 S 1st St, Bloomfield, NM 87413-6242.
- What is 100 South Bloomfield Professional, LLC's phone number?
- The practice phone number listed in the NPPES registry for 100 South Bloomfield Professional, LLC is (505) 632-3344.
- Who is the authorized official for 100 South Bloomfield Professional, LLC?
- The authorized official listed on 100 South Bloomfield 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 100 South Bloomfield Professional, LLC's NPI active?
- Yes — 100 South Bloomfield Professional, LLC's NPI (1912519067) is active in the NPPES registry as of the last update on 2020-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.