Provider Demographics
NPI:1659350304
Name:ROMANSKI, CHRISTINE M (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:M
Last Name:ROMANSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:M
Other - Last Name:SAAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1198 S LAPEER RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1430
Mailing Address - Country:US
Mailing Address - Phone:248-693-5844
Mailing Address - Fax:248-693-2491
Practice Address - Street 1:1198 S LAPEER RD
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1430
Practice Address - Country:US
Practice Address - Phone:248-693-5844
Practice Address - Fax:248-693-2491
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010177641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICS017764OtherBCBS IDENTIFIER
MI01384035OtherUNITED CONCORDIA IDENTIFI