National Provider Identifier
Mark A Roman, DMD FAGD
Mark A Roman, DMD FAGD is listed in the NPPES registry with a primary specialty of Dentist in Addison, NY and a listed phone number of (607) 359-3367.
Profile Overview
- NPI
- 1598920472
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- July 21, 2008
- Last Updated
- August 20, 2008
Practice Location
- 138 Front Street
- Addison, NY 14801
Phone: (607) 359-3367
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1598920472
- Entity Type
- Individual
- Last Name
- Roman
- First Name
- Mark
- Middle Name
- A
- Credential
- DMD FAGD
- Mailing Street Address
- 138 Front Street
- Mailing City
- Addison
- Mailing State
- NY
- Mailing ZIP Code
- 14801
- Mailing Country
- US
- Mailing Phone
- (607) 359-3367
- Mailing Fax
- (607) 359-3399
- Practice Street Address
- 138 Front Street
- Practice City
- Addison
- Practice State
- NY
- Practice ZIP Code
- 14801
- Practice Country
- US
- Practice Phone
- (607) 359-3367
- Practice Fax
- (607) 359-3399
- Enumeration Date
- July 21, 2008
- Last Updated
- August 20, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)