Provider Demographics
NPI:1124053442
Name:ROMZICK, CAROLYN LOUISE (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:LOUISE
Last Name:ROMZICK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29330 W 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-4110
Mailing Address - Country:US
Mailing Address - Phone:248-855-4850
Mailing Address - Fax:248-855-5371
Practice Address - Street 1:29330 W 12 MILE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4110
Practice Address - Country:US
Practice Address - Phone:248-855-4850
Practice Address - Fax:248-855-5371
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901013313122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist