Provider Demographics
NPI:1841927779
Name:ROEMER, JULIA REBECCA (RDH PHDH)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:REBECCA
Last Name:ROEMER
Suffix:
Gender:F
Credentials:RDH PHDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:CARLINVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62626-1438
Mailing Address - Country:US
Mailing Address - Phone:217-408-8885
Mailing Address - Fax:
Practice Address - Street 1:1115 MORGAN ST
Practice Address - Street 2:
Practice Address - City:CARLINVILLE
Practice Address - State:IL
Practice Address - Zip Code:62626-1438
Practice Address - Country:US
Practice Address - Phone:217-854-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist