JEFFREY L SORENSEN DDS (NPI# 1740406396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740406396 |
| Entity Type | Organization |
| Organization Name | JEFFREY L SORENSEN DDS |
| Practice Address |
24418 75th St Salem WI 53168-9703 |
| Practice Telephone | 2628432004 |
| Practice Fax Number | 2628432832 |
| Mailing Telephone | 2628432004 |
| Mailing Fax Number | 2628432832 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHARI PFENNINGER (INSURANCE PROCESSOR) |
| Authorized Official Telephone | 2628432004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
WI3640 | WI | Dental Providers |
| Street Address |
24418 75TH ST |
| City | SALEM |
| State | WI |
| Zip Code | 53168-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972648459 | Jeffrey L Sorensen | Dentist | 24418 75th St, Salem, WI 53168-9703 | 2007-02-21 |
| 1558975177 | Quirt Family Dentistry | Dentist | 24418 75th St, Salem, WI 53168-9703 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1811557457 | Chadi Farag | Dentist | 25620 75th Street, Salem, WI 53168 | 2019-06-17 |
| 1659708261 | Lisa Marie Looney | Registered Nurse | 5104 294th Ave., Salem, WI 53168 | 2013-09-27 |
| 1720267693 | Central High School District of Westosha | Local Education Agency (LEA) | 24617 75th St, Salem, WI 53168 | 2007-10-29 |
| 1003973108 | Toby Jayne Hawkes | Chiropractor | 24706 75th St., Suite 200, Paddock Lake, WI 53168 | 2007-01-02 |
| 1336171339 | Aurora Pharmacy Inc | Pharmacy | 25320 75th St, Paddock Lake, WI 53168 | 2006-07-07 |
| 1063894723 | Southport Cardiovascular Surgeons LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7137 236th Avenue, #103, Paddock Lake, WI 53168 | 2015-06-18 |
| 1699704296 | Michelle Lynn Baumeister | Occupational Therapy Assistant | 25250 75th St, Paddock Lake, WI 53168 | 2006-07-03 |
| 1710930961 | Paul Norman Schmidt | Physical Therapist | 25250 75th St, Salem, WI 53168-8705 | 2006-05-18 |
| 1073158937 | Kassandra R Kanaga | Occupational Therapist | 25250 75th St, Salem, WI 53168-8705 | 2019-11-14 |
| Find all providers in zip 53168 | ||||
| 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 |
|---|---|---|---|---|
| 1811557457 | Chadi Farag | Dentist | 25620 75th Street, Salem, WI 53168 | 2019-06-17 |
| 1528626660 | Stephanie Danielle Gibbons | Dentist | 5 Dawn St, Salem, NH 03079-3231 | 2019-06-04 |
| 1407414642 | Selma Moon Pierce | Dentist | 961 Glen Eden Ct Nw, Salem, OR 97304-2258 | 2019-06-03 |
| 1295392926 | Brock Jesse Nelson | Dentist | 631 Jason St Ne Ste 150, Salem, OR 97301-2750 | 2019-05-29 |
| 1023595899 | Gregory Lee Miller | Dentist | 3405 Derr Park Rd Se, Salem, OR 97310-0001 | 2018-07-25 |
| 1437643616 | Idylwood Dental LLC | Dentist | 4392 Liberty Road, Salem, OR 97302-6171 | 2018-06-20 |
| 1619428281 | William D. Bateman, Dmd, LLC | Dentist | 1995 Commercial St Se Ste 200, Salem, OR 97302-5291 | 2016-10-19 |
| 1134545494 | Caroline Wallace | Dentist | 103 S Colorado St, Salem, VA 24153-3848 | 2014-03-11 |
| 1275960296 | Amy Trevor | Dentist | 1595 Commercial St. Se, Salem, OR 97302 | 2013-10-04 |
| 1558601385 | Crisdental East Salem, LLC | Dentist | 3545 Lancaster Dr Ne, Salem, OR 97305-1435 | 2013-02-14 |
| Find all providers in SALEM | ||||
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| 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.