John J Romano, D.D.S.
Individual provider Active NPI General Practice Dentistry · East Quogue, NY
NPI 1124184684 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124184684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 50-036486 (NY)
- Practice address
- 426 Montauk Hwy
East Quogue, NY 11942-3923 - Phone
- (631) 653-4479
- Fax
- (631) 653-4491
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-036486 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Fork Family Dentistry PC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50-036486 | NY | Yes |
Addresses
Primary practice location
426 Montauk Hwy
East Quogue, NY 11942-3923
Mailing address
426 Montauk Hwy
East Quogue, NY 11942-3923
Phone (631) 283-6381
Other providers in East Quogue, NY
- Stacey Naglieri
- Madison Taylor Oakley
- Keith Aro Patalinjug
- Tara Ann Pucci
- Jennifer Quinn Mattera
- Judith Alicia Rose
- Jennifer Lynn Russo
- Greta Sataite
- Farrand Elizabeth Seltenreich
- Seth Greiner PT PLLC
All providers in East Quogue, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.