Provider Demographics
NPI:1780660936
Name:ROOMKIN, BARBARA PEARL (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:PEARL
Last Name:ROOMKIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GALLIVAN LN
Mailing Address - Street 2:
Mailing Address - City:UNCASVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06382-1208
Mailing Address - Country:US
Mailing Address - Phone:860-367-0688
Mailing Address - Fax:860-367-0668
Practice Address - Street 1:14 GALLIVAN LN
Practice Address - Street 2:
Practice Address - City:UNCASVILLE
Practice Address - State:CT
Practice Address - Zip Code:06382-1208
Practice Address - Country:US
Practice Address - Phone:860-367-0688
Practice Address - Fax:860-367-0668
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0065011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice