Provider Demographics
NPI:1205081197
Name:FARBER, ROMI MERIDITH (DDS)
Entity type:Individual
Prefix:DR
First Name:ROMI
Middle Name:MERIDITH
Last Name:FARBER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 WESTGATE CENTER DR
Mailing Address - Street 2:GREENTREE CENTRE 1, SUITE 208
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3104
Mailing Address - Country:US
Mailing Address - Phone:336-765-1933
Mailing Address - Fax:336-765-1415
Practice Address - Street 1:1400 WESTGATE CENTER DR
Practice Address - Street 2:GREENTREE CENTRE 1, SUITE 208
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3104
Practice Address - Country:US
Practice Address - Phone:336-765-1933
Practice Address - Fax:336-765-1415
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC65591223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics