Provider Demographics
NPI:1902387301
Name:ROMERO, JENNIE G (DMD MSC)
Entity type:Individual
Prefix:DR
First Name:JENNIE
Middle Name:G
Last Name:ROMERO
Suffix:
Gender:F
Credentials:DMD MSC
Other - Prefix:DR
Other - First Name:JENNIE
Other - Middle Name:G
Other - Last Name:FERRER-ROMERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1395 CENTER DRIVE, P.O. BOX 100415
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0415
Mailing Address - Country:US
Mailing Address - Phone:352-273-5850
Mailing Address - Fax:
Practice Address - Street 1:1395 CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0415
Practice Address - Country:US
Practice Address - Phone:352-273-5850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDTP7681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice