Provider Demographics
NPI:1265728299
Name:STIHARU, TUDOR I (DMD, FRCD(C))
Entity type:Individual
Prefix:DR
First Name:TUDOR
Middle Name:I
Last Name:STIHARU
Suffix:
Gender:M
Credentials:DMD, FRCD(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14344 BURNHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-4928
Mailing Address - Country:US
Mailing Address - Phone:612-638-1238
Mailing Address - Fax:
Practice Address - Street 1:14344 BURNHAVEN DR
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-4928
Practice Address - Country:US
Practice Address - Phone:612-638-1238
Practice Address - Fax:952-898-4109
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND136241223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery