MEDICARE: MICHAEL SOROCHIN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0401420064	VA

General Provider Information

NPI Number	:	1093643561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SOROCHIN DDS

Provider Business Mailing Address
First Line	:	1042 ESTATES VILLAGE LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2957
Country	:	US
Telephone Number	:	434-953-6767
Fax Number	:

Provider Business Practice Location Address
First Line	:	6015 STAPLES MILL RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-4923
Country	:	US
Telephone Number	:	804-417-7788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	06/02/2026

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