Individual ProviderJohn M RomulusDentistDental ProvidersPractice Address306 Dolphin Dr Ste 1, Jacksonville, NC 28546-5266(910) 455-3686PECOS EnrollmentBased on the most recent information from CMS, provider John M Romulus does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1720095201Provider TypeIndividualFull NameRomulus, John MTitleDr.CredentialDDSGenderMaleSole ProprietorYesEnumeration Date8/1/2006Last Updated1/16/2023Contact InformationPractice LocationPractice Address306 Dolphin Dr Ste 1, Jacksonville, NC 28546-5266Phone(910) 455-3686Fax(910) 455-6394Mailing LocationMailing Address306 Dolphin Dr Ste 1, Jacksonville, NC 28546-5266Phone(910) 455-3686Fax(910) 455-6394Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense5368North Carolina