NPI
1601 2nd Street Gallup Professional, Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2021-11-01
- Last updated
- 2021-11-01
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 1601 S Second St
- City
- Gallup NM
- Postal code
- 87301-5816
- Phone
- (505) 722-4422
Organization contact
- Name
- PETER GRMBOS
- Title
- Owner/Dentist
- Phone
- 5057224422
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Gallup, NM. 2,281 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.