100 South Bloomfield Professional, Llc is a Dental Clinic in Bloomfield, New Mexico. It is located at 100 S 1st St, Bloomfield, NM and its contact number is 505-632-3344. The authorized person for 100 South Bloomfield Professional, Llc is Peter Grumbos
who is Owner of the clinic and their contact number is 505-632-3344.
100 South Bloomfield Professional, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
100 South Bloomfield Professional, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | 100 South Bloomfield Professional, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 100 S 1st St, Bloomfield,
New Mexico, 87413-6242 |
| Phone: | 505-632-3344 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Peter Grumbos |
| Position: | Owner |
| Contact Number: | 505-632-3344 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for 100 South Bloomfield Professional, Llc clinic are as mentioned below.
| NPI Number: | 1912519067 |
| NPI Enumeration Date: | 20 Aug, 2020 |
| NPI Last Update On: | 20 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 100 South Bloomfield Professional, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 100 South Bloomfield Professional, Llc
100 S 1st St,
Bloomfield, New Mexico |
| Zip: | 87413-6242 |
| Phone Number: | 505-632-3344 |
Patients can reach 100 South Bloomfield Professional, Llc at
100 S 1st St, Bloomfield, New Mexico or can
call to book an appointment on 505-632-3344.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.