Provider Demographics
NPI:1396870168
Name:ROEMER, SHERYL G (RDM)
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:G
Last Name:ROEMER
Suffix:
Gender:F
Credentials:RDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 WELLESLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606
Mailing Address - Country:US
Mailing Address - Phone:757-930-2014
Mailing Address - Fax:
Practice Address - Street 1:12695 MCMANUS BLVD
Practice Address - Street 2:SUITE 3A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602
Practice Address - Country:US
Practice Address - Phone:757-898-6060
Practice Address - Fax:757-898-6077
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist