National Provider Identifier Database

730 NEW ALBANY PROFESSIONAL PLLC
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

730 NEW ALBANY PROFESSIONAL PLLC
731 COULTER DR
NEW ALBANY, MS38652
Phone: 662-534-4397
Fax: 662-534-6599
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for 730 NEW ALBANY PROFESSIONAL PLLC

NPI Number 1710691241
Legal business name
LBN
730 NEW ALBANY PROFESSIONAL PLLC
Authorized official PETER GRUMBOS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/10/2023
Last updated 01/10/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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