Provider Demographics
NPI:1407049067
Name:ROMNEY, NATHAN SCOTT (DDS)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:SCOTT
Last Name:ROMNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8520 SILVERLEAF CIR
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:TX
Mailing Address - Zip Code:76226-5594
Mailing Address - Country:US
Mailing Address - Phone:940-455-7339
Mailing Address - Fax:
Practice Address - Street 1:3600 FM 407 E STE 160
Practice Address - Street 2:
Practice Address - City:BARTONVILLE
Practice Address - State:TX
Practice Address - Zip Code:76226-9722
Practice Address - Country:US
Practice Address - Phone:940-455-7339
Practice Address - Fax:817-347-4639
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185837514Medicaid