Dwight Romriell
Dentist (General Practice)

Address: 1777 E Clark St, Suite 240, Pocatello, ID 83201
Phone: 2082347246

Dwight Romriell (NPI# 1487760450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1487760450
Entity Type Individual
Full Name Dwight Romriell
Gender Male
Practice Address 1777 E Clark St
Suite 240
Pocatello
ID 83201
Practice Telephone 2082347246
Practice Fax Number 2082320207
Mailing Address 1777 E Clark St
Suite 240
Pocatello
ID 83201
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-08-22
Last Update Date 2017-06-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223G0001X Dentist · General Practice Dental Providers D1612 ID

Physician Overview

NPI 1487760450
PAC ID by PECOS 7911948674
Professional Enrollment ID I20050512000940
Full Name Dwight Gale Romriell
Phone Number 2082347246
Gender M
Credential DDS
Graduation Year 1976
Primary Specialty ORAL SURGERY
Secondary Specialties PAIN MANAGEMENT
Accepts Medicare Assignment M

Office Location

Street Address 1777 E CLARK ST
SUITE 240
City POCATELLO
State ID
Zip Code 83201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487688990 Brent Christensen Podiatrist 1777 E Clark St, Suite 220, Pocatello, ID 83201-3357 2006-07-10
1598197857 Christensen Foot & Ankle Clinic Podiatrist 1777 E Clark St, Suite 220, Pocatello, ID 83201-3357 2013-08-08
1427337831 Justice Isaacson Counselor 1777 E Clark St, Pocatello, ID 83201-3357 2011-08-16
1598077562 Life Change Associates, PC Counselor 1777 E Clark St, Suite 330, Pocatello, ID 83201-3357 2010-07-07
1881754901 Scott S Petty Psychiatry & Neurology 1777 E Clark St, Suite 330, Pocatello, ID 83201-3357 2006-12-11
1154431542 Deric V Ravsten Psychiatry & Neurology 1777 E Clark St, Suite 330, Pocatello, ID 83201-3357 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1043716285 Brice Anderson Specialist/Technologist 1412 Saratoga St, Pocatello, ID 83201 2018-04-05
1760987325 Hailie Cowdell Specialist/Technologist 1038 Deon Dr., Pocatello, ID 83201 2018-03-27
1881199677 Mckenzi Adams Specialist/Technologist 397 Appaloosa Ave, Pocatello, ID 83201 2018-03-26
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295229680 Elliot David Larson Dentist 465 Memorial Dr Bldg 83, Pocatello, ID 83201-4008 2018-06-19
1982119459 Good Blood Pllc Dentist 4165 Yellowstone Ave, Pocatello, ID 83202-2414 2017-12-06
1952822686 Connor Fairbanks Dentist 921 S 8th Ave Stop 8088, Pocatello, ID 83209-0002 2017-07-03
1326281163 Care Creek Dental LLC Dentist 1169 Call Creek Dr Ste A, Pocatello, ID 83201-3077 2009-04-09
1306005236 Olympus Family Dental Dentist 1598 Delphic Way Ste B, Pocatello, ID 83201-2200 2008-06-05
1730348806 Call Family Dentistry Dentist 1352 E Center St Ste B, Pocatello, ID 83201-4769 2008-06-04
1215102439 Four Season Dental PC Dentist 115 E Chapel Rd, Pocatello, ID 83201 2008-04-29
1174797716 Carl B. Holm, D.d.s., P.C. Dentist 350 E Cedar St, Suite A, Pocatello, ID 83201-3709 2008-04-15
1790999407 Allied Dental Clinic, PC Dentist 1246 Yellowstone Ave Ste B3, Pocatello, ID 83201-4372 2007-05-10
1205957594 Mary Allison Harper Dentist 465 Memorial Dr., Pocatello, ID 83209-8088 2007-04-03
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Competitor

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City POCATELLO
Zip Code 83201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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