Provider Demographics
NPI:1255543757
Name:UMANSKY, SULA (DDS)
Entity type:Individual
Prefix:DR
First Name:SULA
Middle Name:
Last Name:UMANSKY
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 1:18029 FM 529 RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1181
Mailing Address - Country:US
Mailing Address - Phone:281-550-2600
Mailing Address - Fax:281-550-7443
Practice Address - Street 1:18029 FM 529 RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1181
Practice Address - Country:US
Practice Address - Phone:281-550-2600
Practice Address - Fax:281-550-7443
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20962122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist