| Matthew Roma, DDS | |
|
550 E Washington Blvd Ste 100, Crescent City, CA 95531-8161 | |
| (707) 387-9808 | |
| Not Available |
| Full Name | Matthew Roma |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 550 E Washington Blvd Ste 100, Crescent City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194896837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 102495 (California) | Secondary |
| 122300000X | Dentist | 052562 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 102495 (California) | Primary |
| Entity Name | Golden Valley Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Roma, DDS 219 Front St, Binghamton, NY 13905 Ph: (607) 584-4545 | Matthew Roma, DDS 550 E Washington Blvd Ste 100, Crescent City, CA 95531-8161 Ph: (707) 387-9808 |
Dr. Michael John Standring, MA, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1470 Northcrest Dr, Crescent City, CA 95531 Phone: 707-464-4223 |
Susan M Wellman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 550 E Washington Ave, Suite 100, Crescent City, CA 95531 Phone: 707-465-4636 Fax: 707-465-1983 |
Dwight Gerald Jones, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 550 E Washington Blvd, Crescent City, CA 95531 Phone: 707-465-6925 Fax: 707-465-6070 |
Dr. Roger Lee Wakeman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 460 9th Street, Crescent City, CA 95531 Phone: 707-464-5310 |
Dr. David Gordon Crabtree, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1225 Marshall St Ste 20, Crescent City, CA 95531 Phone: 707-464-8393 |
Dr. Thomas Chanez, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Drive, Crescent City, CA 95531 Phone: 707-465-1000 Fax: 707-465-9088 |
Chen Wei Yew, Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 E Washington Blvd, Crescent City, CA 95531 Phone: 707-460-1802 |