Healthcare Provider Details

I. General information

NPI: 1740298546
Provider Name (Legal Business Name): JULIUS ROMON THEOPHILUS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 WARDS CORNER RD STE 200
LOVELAND OH
45140-3800
US

IV. Provider business mailing address

424 WARDS CORNER RD STE 200
LOVELAND OH
45140-6966
US

V. Phone/Fax

Practice location:
  • Phone: 513-688-8580
  • Fax: 513-688-8591
Mailing address:
  • Phone: 513-576-7700
  • Fax: 513-576-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028685
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: