Provider Demographics
NPI:1841417987
Name:ROMEO, MARGARET L (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:L
Last Name:ROMEO
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 1:546 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MACCLENNY
Mailing Address - State:FL
Mailing Address - Zip Code:32063-2602
Mailing Address - Country:US
Mailing Address - Phone:904-259-5007
Mailing Address - Fax:904-259-8978
Practice Address - Street 1:546 S 5TH ST
Practice Address - Street 2:
Practice Address - City:MACCLENNY
Practice Address - State:FL
Practice Address - Zip Code:32063-2602
Practice Address - Country:US
Practice Address - Phone:904-259-5007
Practice Address - Fax:904-259-8978
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-00141701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice