DR. DAVID WALLACE SORENSEN (NPI# 1831508084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831508084 |
| Entity Type | Individual |
| Full Name | DR. DAVID WALLACE SORENSEN |
| Credential | DMD |
| Practice Address |
460 Town Plaza Ave Suite 210 Ponte Vedra FL 32081-5139 |
| Mailing Address |
460 Town Plaza Ave Ste 210 Ponte Vedra FL 32081-5140 |
| Practice Telephone | 9043957771 |
| Mailing Telephone | 9043957771 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2017-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN20719 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508214370 | David Sorensen | Counselor | 8073 S Chapel Hill Dr, Franklin, WI 53132-2429 | 2016-06-02 |
| 1003165671 | David Sorensen | Family Medicine | 3524 Airfield Rd, Fort Carson, CO 80913-4701 | 2012-08-29 |
| 1871689547 | David Alan Sorensen | Counselor | 2202 Menaul Ne, Ste. A, Albuquerque, NM 87106 | 2006-10-04 |
| 1720611601 | David Sorensen | Counselor | 724 S Burlington Ave, Hastings, NE 68901-5913 | 2020-02-19 |
| 1447533997 | David Lee Sorensen | Pharmacist | 3495 S Virginia St, Reno, NV 89502-4503 | 2011-09-21 |
| 1770702896 | David Charles Sorensen | Dentist | 1111 24th St, Suite 204, Sacramento, CA 95816-5019 | 2007-04-25 |
| 1548389661 | David L. Sorensen | Counselor | 2055 Garrett Way, Suite 1, Pocatello, ID 83201-5100 | 2007-03-28 |
| 1548342801 | David James Sorensen | Dentist | 90 W 600 N, Spanish Fork, UT 84660-1400 | 2006-10-19 |
| Street Address |
460 TOWN PLAZA AVE SUITE 210 |
| City | PONTE VEDRA |
| State | FL |
| Zip Code | 32081-5139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821543513 | Blue Water Dental of St. Johns | Preferred Provider Organization | 460 Town Plaza Ave, Suite 210, Ponte Vedra, FL 32081-5139 | 2016-08-23 |
| 1922458686 | Michele Brenneman | Psychologist | 460 Town Plaza Ave, Suite 230, Ponte Vedra, FL 32081-5139 | 2016-06-14 |
| 1366891277 | Annette Strickland Van Horn | Psychologist | 460 Town Plaza Ave, Suite 230, Ponte Vedra, FL 32081-0574 | 2016-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
| 1396379780 | Blue Water Health and Wellness LLC | Clinic/Center | 340 Town Place Ave. Suite 240, Ponte Vedra, FL 32081 | 2020-02-25 |
| 1407489743 | Flagler Professional Health Care Services, Inc. | Radiology | 351 Town Plaza Ave, Ste 101, Ponte Vedra, FL 32081 | 2020-02-14 |
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1588121487 | Donald A. Barnhorst Jr. Md Pa | Eyewear Supplier (Equipment, not the service) | 190 Marketside Ave., Suite B, Ponte Vedra, FL 32081 | 2019-02-27 |
| 1770056996 | Kelsey Rosenblum | Specialist/Technologist | 122 Princess Drive, Ponte Vedra, FL 32081 | 2019-01-10 |
| 1609364884 | Turner Telemedicine, Pllc | Family Medicine | 102 Queensland Cir, Ponte Vedra, FL 32081 | 2018-04-24 |
| 1649705914 | Catherine Julia Seidle | Nurse Practitioner | 20 Rialto Drive, Ponte Vedra, FL 32081 | 2017-04-25 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1053776872 | Brittany Jones | Social Worker | 98 Skylar Lane, Ponte Vedra, FL 32081 | 2015-12-21 |
| Find all providers in zip 32081 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336586577 | Ponte Vedra Dental Group | Dentist | 330 A1a N Ste 326, Ponte Vedra, FL 32082-1827 | 2013-05-29 |
| 1104081520 | Lori Vespia | Dentist | 238 Solana Rd, Ponte Vedra, FL 32082-2297 | 2008-07-24 |
| 1679684724 | Carol Anne Mccabe | Dentist | 512 Pelican Pointe Rd, Ponte Vedra, FL 32081-1533 | 2006-08-31 |
| 1346260155 | Ponte Vedra Complete Dentistry, Pa | Dentist | 105 Solana Rd Ste A, Ponte Vedra, FL 32082-5229 | 2006-07-21 |
| 1356969117 | Cynthia Martinez | Dentist | 685 Crosswater Pkwy Ste A, Ponte Vedra, FL 32081-0769 | 2020-07-08 |
| 1801388368 | Alina Lenz | Dentist | 685 Crosswater Pkwy Ste A, Ponte Vedra, FL 32081 | 2018-05-31 |
| 1023548013 | Robert J Lombardo | Dentist | 5000 Sawgrass Village Cir Ste 23, Ponte Vedra, FL 32082-5041 | 2017-06-13 |
| 1679721286 | Kristopher Rex Harth | Dentist | 105 Solana Rd Ste A, Ponte Vedra, FL 32082-5229 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1003416017 | Phillip Jeffery Kelemen | Dentist | 5913 Plainview Dr, Port Orange, FL 32127-8911 | 2020-10-28 |
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1477151520 | Beacon Dental LLC | Dentist | 800 Se 4th Ave Ste 720, Hallandale Beach, FL 33009-6496 | 2020-10-12 |
| 1972100451 | South Florida Sleep Solutions LLC | Dentist | 9100 Sw 53rd St, Cooper City, FL 33328-5021 | 2020-10-07 |
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1689289613 | Sydney Taylor Brown | Dentist | 4455 Sam Mitchell Dr Unit Dental, Chipley, FL 32428-3501 | 2020-09-15 |
| 1679188957 | Kai Ta Huang | Dentist | 1950 Laurel Manor Dr Ste 160, The Villages, FL 32162-5610 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | PONTE VEDRA |
| Zip Code | 32081 |
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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.