Provider Demographics
NPI:1801926860
Name:ROMEO, SALVATORE ANTHONY (DDS, PC)
Entity type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:ANTHONY
Last Name:ROMEO
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4170 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-5303
Mailing Address - Country:US
Mailing Address - Phone:516-541-5515
Mailing Address - Fax:516-541-6453
Practice Address - Street 1:4170 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-5303
Practice Address - Country:US
Practice Address - Phone:516-541-5515
Practice Address - Fax:516-541-6453
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045295122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist