MEDICARE: DR. VICTOR ROMERO JR. 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	1223G0001X	General Practice Dentistry	7609	NE

General Provider Information

NPI Number	:	1700400132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR ROMERO JR. DDS

Provider Business Mailing Address
First Line	:	3358 29TH AVE
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-3840
Country	:	US
Telephone Number	:	402-650-3934
Fax Number	:

Provider Business Practice Location Address
First Line	:	2672 33RD AVE
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-2314
Country	:	US
Telephone Number	:	402-564-7590
Fax Number	:

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

Provider Enumeration Date	:	06/01/2020
Last Update Date	:	06/01/2020

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