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General NPI Number Information
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NPI Number | 1346703568
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Entity Type | Individual
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Provider Name | JORGE ROMERO D.M.D
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Gender | Male
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Dates
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Enumeration Date | 04/14/2019
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 6075 POPLAR AVE STE 111
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City | MEMPHIS
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State | TN
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Zip | 38119-4740
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Country | US
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Telephone | 901-236-0648
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Fax |
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Provider Business Mailing Address
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Address Line | 6631 W 14TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-6238
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Country | US
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Telephone | 786-277-3365
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12791
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License Number State | TN
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