MEDICARE: DR. RYAN PIOQUINTO ROMERO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	30.022800	OH

General Provider Information

NPI Number	:	1306000138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN PIOQUINTO ROMERO DDS

Provider Business Mailing Address
First Line	:	29001 CEDAR RD STE 453
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-6501
Country	:	US
Telephone Number	:	440-446-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	29001 CEDAR RD STE 453
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-6501
Country	:	US
Telephone Number	:	440-446-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	02/28/2020

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