Clara Lucia Nunez Romero, DDS

Individual provider Active NPI General Practice Dentistry · Matthews, NC

NPI 1073808259 · NPPES record last updated Mar 17, 2021

Key facts

NPI
1073808259
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
9221 (NC)
Practice address
10808 Monroe Rd
Matthews, NC 28105-7305
Phone
(704) 705-4744
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9221NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luis a Osorio M.D.S.C. Past
since Feb 18, 2012
Accepting new patients
Claudia Osorio DDS PC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9221 NC Yes

Addresses

Primary practice location

10808 Monroe Rd
Matthews, NC 28105-7305

Mailing address

10808 Monroe Rd
Matthews, NC 28105-7305
Phone (704) 705-4744

Other practice location 1

6721 W Cermak Rd
Berwyn, IL 60402
Phone (708) 749-0277

Other providers in Matthews, NC

All providers in Matthews, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.