DR. JACOB DEAN SORENSEN (NPI# 1326275462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326275462 |
| Entity Type | Individual |
| Full Name | DR. JACOB DEAN SORENSEN |
| Credential | DDS |
| Practice Address |
800 1st Ave N Suite 2 Clear Lake IA 50428-1725 |
| Practice Telephone | 6413578111 |
| Practice Fax Number | 6413577713 |
| Mailing Telephone | 6413578111 |
| Mailing Fax Number | 6413577713 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
08647 | IA | Dental Providers |
| Street Address |
800 1ST AVE N SUITE 2 |
| City | CLEAR LAKE |
| State | IA |
| Zip Code | 50428-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033200795 | Robert O. Gross | General Practice | 800 1st Ave N, Suite #1, Clear Lake, IA 50428-1725 | 2006-09-27 |
| 1417096660 | Patrick Gerald Carney | Dentist | 800 1st Ave N, Suite 2, Clear Lake, IA 50428-1725 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
| 1578120978 | Jon Secory | Pharmacist | 20 S. 4th St, Clear Lake, IA 50428 | 2019-05-22 |
| 1285109207 | Julie Livingston | Registered Nurse | Thrifty White Drug, 1907 Us Highway 18 East, Clear Lake, IA 50428 | 2018-10-05 |
| 1720580277 | Kelly Nieman | Nurse Practitioner | 1410 6th Ave South, Clear Lake, IA 50428 | 2018-03-01 |
| 1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
| 1609114958 | Hasco Inc. | Pharmacy | 8 North 4th St, Clear Lake, IA 50428 | 2013-01-22 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1326204686 | Anjali S. Henry | Pediatrics | 418 North Shore Drive, Clear Lake, IA 50428 | 2008-08-05 |
| Find all providers in zip 50428 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402486 | Matthew Todd Meyers | Dentist | 800 1st Ave N Ste 2, Clear Lake, IA 50428-1725 | 2018-06-27 |
| 1851505804 | Martin H Oleson | Dentist | 210 S Third Ave, Clear Lake, SD 57226-0559 | 2007-05-09 |
| 1427124973 | Martin H Oleson Dds PC | Dentist | 210 South Third Ave., Clear Lake, SD 57226-0559 | 2006-11-27 |
| 1265511950 | Lake Dental Associates PC | Dentist | 102 N 5th St, Clear Lake, IA 50428-1803 | 2006-11-03 |
| 1780200543 | Matthew Bieber | Dentist | 102 N 5th St, Clear Lake, IA 50428-1803 | 2020-06-17 |
| 1396905295 | Mark J Scribbins | Dentist | 108 S 4th St, Clear Lake, IA 50428-1940 | 2008-06-13 |
| 1417096660 | Patrick Gerald Carney | Dentist | 800 1st Ave N, Suite 2, Clear Lake, IA 50428-1725 | 2007-02-05 |
| 1689744898 | Jason T Skinner | Dentist | 102 N 5th St, Clear Lake, IA 50428-1803 | 2006-11-08 |
| 1356420137 | Thomas W Bieber | Dentist | 102 N 5th St, Clear Lake, IA 50428-1803 | 2006-11-03 |
| 1245311190 | Mark J Scribbins | Dentist | 108 S 4th St, Clear Lake, IA 50428-1940 | 2006-10-18 |
| Find all providers in CLEAR LAKE | ||||
| City | CLEAR LAKE |
| Zip Code | 50428 |
Please comment or provide details below to improve the information on DR. JACOB DEAN SORENSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.