Provider Demographics
NPI:1417147158
Name:ROMAS, CHRISTOPHER COREY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:COREY
Last Name:ROMAS
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 1:785 W WALNUT ST
Mailing Address - Street 2:APT A
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3182
Mailing Address - Country:US
Mailing Address - Phone:317-686-1071
Mailing Address - Fax:
Practice Address - Street 1:2946 WATERFRONT PARKWAY WEST DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-2007
Practice Address - Country:US
Practice Address - Phone:317-290-9466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010588A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice