Healthcare Provider Details

I. General information

NPI: 1093643561
Provider Name (Legal Business Name): MICHAEL SOROCHIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6015 STAPLES MILL RD
HENRICO VA
23228-4923
US

IV. Provider business mailing address

1042 ESTATES VILLAGE LN
RICHMOND VA
23226-2957
US

V. Phone/Fax

Practice location:
  • Phone: 804-417-7788
  • Fax:
Mailing address:
  • Phone: 434-953-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: