Healthcare Provider Details

I. General information

NPI: 1033996921
Provider Name (Legal Business Name): MONICA DEL CARMEN ROMERO VINAS DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2023
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 MAIN ST
BUFFALO NY
14214-3099
US

IV. Provider business mailing address

3435 MAIN ST
BUFFALO NY
14214-3099
US

V. Phone/Fax

Practice location:
  • Phone: 716-262-9750
  • Fax:
Mailing address:
  • Phone: 716-262-9750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number2022019827
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number000165
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: