Provider Demographics
NPI:1437392149
Name:ROMANO, RICHARD T (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:T
Last Name:ROMANO
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 1:111 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 1812
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005
Mailing Address - Country:US
Mailing Address - Phone:504-620-6688
Mailing Address - Fax:504-648-0766
Practice Address - Street 1:111 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 1812
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3028
Practice Address - Country:US
Practice Address - Phone:504-620-6688
Practice Address - Fax:504-648-0766
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-10
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3465122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist