Provider Demographics
NPI:1801197199
Name:URAM-TUCULESCU, SORIN (DDS, MS, PHD)
Entity type:Individual
Prefix:DR
First Name:SORIN
Middle Name:
Last Name:URAM-TUCULESCU
Suffix:
Gender:M
Credentials:DDS, MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 N 11TH ST
Mailing Address - Street 2:VCU SC OF DENT DEPT OF PROSTHODONT WOOD BDG SUITE 304 D
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-5045
Mailing Address - Country:US
Mailing Address - Phone:804-628-3742
Mailing Address - Fax:804-827-1017
Practice Address - Street 1:521 N 11TH ST
Practice Address - Street 2:VCU DENTAL FACULTY PRACTICE
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5045
Practice Address - Country:US
Practice Address - Phone:804-828-3368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014128361223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics