Provider Demographics
NPI:1821473836
Name:MISLANKAR, ROMA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROMA
Middle Name:
Last Name:MISLANKAR
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 1:204 BELL ARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6120
Mailing Address - Country:US
Mailing Address - Phone:919-387-0139
Mailing Address - Fax:
Practice Address - Street 1:11180 E FINCH AVE
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NC
Practice Address - Zip Code:27557-7440
Practice Address - Country:US
Practice Address - Phone:252-235-0491
Practice Address - Fax:252-235-0497
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10138122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist