Sorin Mircea Purtuc, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DI02539900 Issued in NJ

Practice address

560 W Scotch Rd
Pennington, NJ 08534-4109

Phone

(847) 722-9099

Fax

(215) 325-0398

NPI assigned

Nov 18, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1760637854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W SCOTCH RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085344109",
            "telephone_number": "847-722-9099",
            "fax_number": "215-325-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W SCOTCH RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085344109",
            "telephone_number": "847-722-9099",
            "fax_number": "215-325-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURTUC",
        "first_name": "SORIN",
        "middle_name": "MIRCEA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037627",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "DI02539900",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS037627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anish Pundyavana
• Nidhi Purohit
• Purposeful Pathway Consultants LLC
• Purtuc Dental, LLC
• Cynthia Ying-He Purtuc, DMD
• Carol Quick, LCSW
• Joanne Patricia Racciatti-Parker, C.A.
• Salvatore V Raccuia, M.D.
• Ann Marie Rackowski
• Beverly Ann Radice, MD

• Endodontics in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.