Provider Demographics
NPI:1801696760
Name:DEL ROSARIO, ROMAXY MICHELL (DMD)
Entity type:Individual
Prefix:
First Name:ROMAXY
Middle Name:MICHELL
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 BETH AVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-7110
Mailing Address - Country:US
Mailing Address - Phone:336-770-9375
Mailing Address - Fax:
Practice Address - Street 1:5408 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-1366
Practice Address - Country:US
Practice Address - Phone:336-776-3015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program