Provider Demographics
NPI:1366622755
Name:ROMA S. CHEEK, DDS, PA
Entity type:Organization
Organization Name:ROMA S. CHEEK, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHEEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-672-0007
Mailing Address - Street 1:430 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5614
Mailing Address - Country:US
Mailing Address - Phone:336-672-0007
Mailing Address - Fax:866-349-4593
Practice Address - Street 1:430 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5614
Practice Address - Country:US
Practice Address - Phone:336-672-0007
Practice Address - Fax:866-349-4593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC79651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty