# GREGORY E ROMRIELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477667335
- **Gender:** Man
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D1538 | ID | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0027325 | — | ID |
| 01 | — | 633218 | UNITED CONCORDIA | ID |
| 01 | — | 82049457412002 | BLUE CROSS/BLUE SHIELD | UT |