Jorge Romero, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12791 Issued in TN

Practice address

6075 Poplar Ave Ste 111
Memphis, TN 38119-4740

Phone

(901) 236-0648

NPI assigned

Apr 14, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Jorge Antonio Romero Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1346703568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 W 14TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126238",
            "telephone_number": "786-277-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 POPLAR AVE STE 111",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194740",
            "telephone_number": "901-236-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JORGE",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "12791",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "111698",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "4954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "ROMERO",
            "middle_name": "ANTONIO",
            "credential": "D.M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan Rollins, DO
• Glenn William Roma, PHARMD
• Betzabe Olinda Roman
• Lisa Krista Rome, CMSW
• Diana Romero, NP
• Lynda Romero, LPC
• Matthew Louis Romine
• Ronald L. Terhune, M.D., P.C.
• Emily Rone, M.S. CCC-SLP
• Meredith Alexis Rone, DNP

• Oral and Maxillofacial Surgery (Dentist) in Memphis, TN
• Providers in Memphis, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.