Provider Demographics
NPI:1568574002
Name:ROMANS, TERRY DEE (DDS)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:DEE
Last Name:ROMANS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:DEE
Other - Last Name:ROMANS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2110 N GRANT
Mailing Address - Street 2:
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67901
Mailing Address - Country:US
Mailing Address - Phone:620-624-5052
Mailing Address - Fax:620-624-1136
Practice Address - Street 1:2110 N GRANT
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901
Practice Address - Country:US
Practice Address - Phone:620-624-5052
Practice Address - Fax:620-624-1136
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS65721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice