GRACIELA ROMO (NPI# 1841831732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841831732 |
| Entity Type | Individual |
| Full Name | GRACIELA ROMO |
| Practice Address |
3024 S State Route 159 Glen Carbon IL 62034-3109 |
| Practice Telephone | 6182056119 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.032289 | IL | Dental Providers |
| Street Address |
3024 S STATE ROUTE 159 |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232340 | Seghen Amanios | Dentist | 3024 S State Route 159, Glen Carbon, IL 62034-3109 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| Find all providers in zip 62034 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454469 | Manita Grover | Dentist | 148 Northbay Ct, Glen Carbon, IL 62034-2994 | 2020-07-13 |
| 1730343724 | Chad Ryan Stewart | Dentist | 2246 S State Route 157 Ste 125, Glen Carbon, IL 62034-1728 | 2008-07-18 |
| 1437324696 | William J Hentze | Dentist | 17 Junction Dr, Glen Carbon, IL 62034-2996 | 2008-04-28 |
| 1215102579 | Kellerman Dental | Dentist | 16 Junction Dr W Ste 101, Glen Carbon, IL 62034-2996 | 2008-04-28 |
| 1841462629 | Briana Leigh Oller | Dentist | 25 Glen Ed Professional Park, Glen Carbon, IL 62034-3333 | 2008-04-01 |
| 1861613689 | Errick L Cameron | Dentist | 590 Glen Crossing Rd, Glen Carbon, IL 62034-1519 | 2007-05-01 |
| 1699782466 | Katherine L Mcnamara | Dentist | 21 Glen Ed Professional Park, Glen Carbon, IL 62034 | 2006-08-02 |
| 1043207046 | Bruce E Rotter | Dentist | 132 Crystal Gate Ln, Glen Carbon, IL 62034-1141 | 2005-10-04 |
| 1982221313 | Paige Hope Bowman | Dentist | 21 Glen Ed Professional Park, Glen Carbon, IL 62034-3333 | 2020-07-01 |
| 1952783490 | Jillian Marie Bruch | Dentist | 24 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 | 2015-06-21 |
| Find all providers in GLEN CARBON | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
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| 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.