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NPI Code Detail

MEDICARE: ERIC ROMANO DDS PLLC

MEDICARE: ERIC ROMANO DDS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1487379590
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC ROMANO DDS PLLC
Provider Business Mailing Address
First Line : 53587 AURORA PARK
Second Line :
City : SHELBY TOWNSHIP
State : MI
Zip : 48316-2523
Country : US
Telephone Number : 586-924-9908
Fax Number :
Provider Business Practice Location Address
First Line : 3444 PIERSON PL
Second Line :
City : FLUSHING
State : MI
Zip : 48433-2410
Country : US
Telephone Number : 586-733-2750
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : ERIC ROMANO
Credential : DDS
Telephone Number : 586-924-9908
Provider Enumeration Date : 10/11/2022
Last Update Date : 10/11/2022

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