Healthcare Provider Details

I. General information

NPI: 1942827654
Provider Name (Legal Business Name): JARRETT ROMINE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2020
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 SW GAGE BLVD STE A
TOPEKA KS
66604-2281
US

IV. Provider business mailing address

6112 SW 39TH ST
TOPEKA KS
66610-1367
US

V. Phone/Fax

Practice location:
  • Phone: 785-272-0333
  • Fax: 785-272-0333
Mailing address:
  • Phone: 785-249-7798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00204417
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number61766
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: