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

1724 State Summerville Professional, LLC

Organization General Practice Dentistry · NPI 1730847724

1724 State Summerville Professional, LLC is a General Practice Dentistry in Summerville, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1724 State Rd Unit 4D
Summerville, SC 29486-2842
Phone: (843) 352-4454
Fax: (843) 352-4875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1730847724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Grumbos — Owner · (843) 352-4454
Other names Cane Bay Family Dentistry
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 7, 2021
Certification dateNovember 29, 2021
Mailing address1724 State Rd Unit 4d, Summerville, SC 29486-2842

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