Provider Demographics
NPI:1477686020
Name:GIANCAROL G. ROMERO, DDS, MS PA
Entity Type:Organization
Organization Name:GIANCAROL G. ROMERO, DDS, MS PA
Other - Org Name:HOUSTON DENTAL IMPLANT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROSTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GIANCARLO
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:713-664-1661
Mailing Address - Street 1:5909 WEST LOOP S
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2402
Mailing Address - Country:US
Mailing Address - Phone:713-664-1661
Mailing Address - Fax:713-664-1140
Practice Address - Street 1:5909 WEST LOOP S
Practice Address - Street 2:SUITE 410
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2402
Practice Address - Country:US
Practice Address - Phone:713-664-1661
Practice Address - Fax:713-664-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX196191223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty