Healthcare Provider Details

I. General information

NPI: 1659350304
Provider Name (Legal Business Name): CHRISTINE M ROMANSKI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE M. SAAD DDS

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1198 S LAPEER RD
LAKE ORION MI
48360-1430
US

IV. Provider business mailing address

1198 S LAPEER RD
LAKE ORION MI
48360-1430
US

V. Phone/Fax

Practice location:
  • Phone: 248-693-5844
  • Fax: 248-693-2491
Mailing address:
  • Phone: 248-693-5844
  • Fax: 248-693-2491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901017764
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: