Provider Demographics
NPI:1649683301
Name:ROMANS, ANNA JOHN (DDS)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:JOHN
Last Name:ROMANS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 ALBANY ST
Mailing Address - Street 2:
Mailing Address - City:CAZENOVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13035-1231
Mailing Address - Country:US
Mailing Address - Phone:315-655-5885
Mailing Address - Fax:
Practice Address - Street 1:132 ALBANY ST
Practice Address - Street 2:
Practice Address - City:CAZENOVIA
Practice Address - State:NY
Practice Address - Zip Code:13035-1231
Practice Address - Country:US
Practice Address - Phone:315-655-5885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057920122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist