Provider Demographics
NPI:1245353945
Name:ROMICK, BRIAN W (DMD, LLC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:W
Last Name:ROMICK
Suffix:
Gender:M
Credentials:DMD, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7655 5 MILE RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4326
Mailing Address - Country:US
Mailing Address - Phone:513-232-4110
Mailing Address - Fax:513-232-4949
Practice Address - Street 1:7655 5 MILE RD
Practice Address - Street 2:SUITE 207
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4326
Practice Address - Country:US
Practice Address - Phone:513-232-4110
Practice Address - Fax:513-232-4949
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH212611223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics