Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

1661 W 2nd Corsicana Professional, PLLC

Organization Dentist · NPI 1225673098

1661 W 2nd Corsicana Professional, PLLC is a Dentist in Corsicana, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1661 W 2nd Ave
Corsicana, TX 75110-4107
Phone: (903) 872-1661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1225673098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Grumbos — Owner · (214) 259-7000
NPI enumeratedNovember 15, 2019
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address1661 W 2nd Ave, Corsicana, TX 75110-4107

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