Basic Information
| Provider Information | |||||||||
| NPI: | 1720342959 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TEMKIN | ||||||||
| FirstName: | ROMAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.D.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6820 BIRD RD | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331553708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7864768711 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6820 BIRD RD | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331553708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7864768711 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2012 | ||||||||
| LastUpdateDate: | 07/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223S0112X | 059029 | NY | N | Dental Providers | Dentist | Oral and Maxillofacial Surgery | 1223S0112X | DN25555 | FL | Y | Dental Providers | Dentist | Oral and Maxillofacial Surgery |
No ID Information.