Provider Demographics
NPI:1407918204
Name:ROMERO, GIANCARLO GREGORIO (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GIANCARLO
Middle Name:GREGORIO
Last Name:ROMERO
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4548 BISSONNET STREET SUITE 300
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-664-1661
Mailing Address - Fax:713-664-1140
Practice Address - Street 1:4548 BISSONNET STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-664-1661
Practice Address - Fax:713-664-1140
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX196191223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics