Provider Demographics
NPI:1013932987
Name:SFINTESCU, TIBERIU VALI (DMD,DDS)
Entity Type:Individual
Prefix:DR
First Name:TIBERIU
Middle Name:VALI
Last Name:SFINTESCU
Suffix:
Gender:M
Credentials:DMD,DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 GREENHAVEN TER
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-5547
Mailing Address - Country:US
Mailing Address - Phone:716-696-1951
Mailing Address - Fax:716-696-1958
Practice Address - Street 1:360 GREENHAVEN TER
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-5547
Practice Address - Country:US
Practice Address - Phone:716-696-1951
Practice Address - Fax:716-696-1958
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0416701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice