Provider Demographics
NPI:1487712576
Name:FUNTEAS, URANIA R (DDS)
Entity type:Individual
Prefix:DR
First Name:URANIA
Middle Name:R
Last Name:FUNTEAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-6612
Mailing Address - Country:US
Mailing Address - Phone:781-762-8855
Mailing Address - Fax:781-769-5969
Practice Address - Street 1:151 EAST CENTRAL STREET
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1439
Practice Address - Country:US
Practice Address - Phone:508-520-8777
Practice Address - Fax:508-520-0859
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA202391223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics