Provider Demographics
NPI:1053113928
Name:ROMANOWICZ, GENEVIEVE ELIZABETH (DDS, PHD)
Entity type:Individual
Prefix:DR
First Name:GENEVIEVE
Middle Name:ELIZABETH
Last Name:ROMANOWICZ
Suffix:
Gender:
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:ELIZABETH
Other - Last Name:GIERKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1150 LUDGATE DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-1658
Mailing Address - Country:US
Mailing Address - Phone:906-370-6026
Mailing Address - Fax:
Practice Address - Street 1:2460 WILLAMETTE ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3169
Practice Address - Country:US
Practice Address - Phone:541-463-5206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD120961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice