Provider Demographics
NPI:1831072065
Name:BRADENTON ORTHODONTICS PLLC
Entity type:Organization
Organization Name:BRADENTON ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:URICHIANU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:432-978-6331
Mailing Address - Street 1:1500 59TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-4634
Mailing Address - Country:US
Mailing Address - Phone:941-792-1533
Mailing Address - Fax:
Practice Address - Street 1:1500 59TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-4634
Practice Address - Country:US
Practice Address - Phone:941-792-1533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty