Provider Demographics
NPI:1487161238
Name:AUBREY PEDIATRIC DENTISTRY
Entity type:Organization
Organization Name:AUBREY PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:940-365-9490
Mailing Address - Street 1:8520 SILVERLEAF CIR
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:TX
Mailing Address - Zip Code:76226-5594
Mailing Address - Country:US
Mailing Address - Phone:469-261-5254
Mailing Address - Fax:
Practice Address - Street 1:26615 US HIGHWAY 380 E STE 130
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-3831
Practice Address - Country:US
Practice Address - Phone:940-365-9490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty