Provider Demographics
NPI:1942798871
Name:ROMEO, DAVIDE (DDS, MS, PHD)
Entity type:Individual
Prefix:DR
First Name:DAVIDE
Middle Name:
Last Name:ROMEO
Suffix:
Gender:M
Credentials:DDS, MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 LEXINGTON AVE 15TH FLR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-725-2020
Mailing Address - Fax:212-251-0002
Practice Address - Street 1:369 LEXINGTON AVE 15TH FLR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-725-2020
Practice Address - Fax:212-251-0002
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-26
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0622351223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics