# ROMINGER DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174046122
- **Authorized official:** DR. JACLYN ELSEY ROMINGER DDS (OWNER/DENTIST)
- **Authorized official phone:** (304) 677-9429

## Contact information

- **Practice address:** 20 SHANER DR STE 108, BRIDGEPORT, WV 26330-2506
- **Practice address phone:** (304) 842-2375
- **Mailing address:** 20 SHANER DR STE 108, BRIDGEPORT, WV 26330-2506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2017
- **Last updated:** 07/21/2017