# JOHN M ROMULUS DDS PA

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

## Provider details

- **NPI number:** 1942471883
- **Authorized official:** TERESA L HARRELL CDA (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (910) 799-9699

## Contact information

- **Practice address:** 3725 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-4140
- **Practice address phone:** (910) 799-9699
- **Practice address fax:** (910) 792-9987
- **Mailing address:** 3725 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-4140
- **Mailing address phone:** (910) 799-9699
- **Mailing address fax:** (910) 792-9987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5368 | NC | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 03/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8997478 | — | NC |
