Provider Demographics
NPI:1194873133
Name:ROMERO, ARTHUR G (DDS)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:G
Last Name:ROMERO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 HILLTOP VILLAGE CENTER DR
Mailing Address - Street 2:SUITE A&B
Mailing Address - City:EUREKA
Mailing Address - State:MO
Mailing Address - Zip Code:63025-1184
Mailing Address - Country:US
Mailing Address - Phone:636-938-9655
Mailing Address - Fax:636-938-9665
Practice Address - Street 1:97 HILLTOP VILLAGE CENTER DR
Practice Address - Street 2:SUITE A&B
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025-1184
Practice Address - Country:US
Practice Address - Phone:636-938-9655
Practice Address - Fax:636-938-9665
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO011832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist