129 Plantation Groose Creek Professional, LLC
NPI 1487311296ActiveOrganization· Dentist, General Practice· Goose Creek, SC
Dentist, General Practice in Goose Creek, South Carolina, registered in NPPES in November 2021. The authorized official on file is Peter Grumbos, DDS, Owner.
Overview
| NPI | 1487311296 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2021 |
| Last updated in NPPES | Nov 29, 2021 |
| Certified by provider | Nov 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Goose Creek
- 1811632029
- 1831453430
- 1982726600
- 1295195188
- 1134311830
- 1679277628
- 1790183887
- 1992094536
- 1508004268
- 1700263886
- 1780066589
- 1831389246