Provider Demographics
NPI:1942702949
Name:DR. JOHN T.A. ROMAO AND ASSOCIATES
Entity Type:Organization
Organization Name:DR. JOHN T.A. ROMAO AND ASSOCIATES
Other - Org Name:JOHN ROMANO, DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE PERSONELL
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-751-4343
Mailing Address - Street 1:463 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909-1625
Mailing Address - Country:US
Mailing Address - Phone:401-751-4343
Mailing Address - Fax:401-751-4347
Practice Address - Street 1:463 BROADWAY
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-1625
Practice Address - Country:US
Practice Address - Phone:401-751-4343
Practice Address - Fax:401-751-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN020221223G0001X
RIDEN033511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty