DR. BRENT SORENSON (NPI# 1952713026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952713026 |
| Entity Type | Individual |
| Full Name | DR. BRENT SORENSON |
| Credential | D.D.S. |
| Practice Address |
14688 Everton Ave N Suite # 104 Hugo MN 55038-6064 |
| Mailing Address |
3045 Standridge Pl Maplewood MN 55109-1562 |
| Practice Telephone | 6512040201 |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2017-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13363 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023265162 | Brent Alan Sorenson | Dentist | Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Fort Lewis, Tacoma, WA 98431-1100 | 2008-08-20 |
| Street Address |
14688 EVERTON AVE N SUITE # 104 |
| City | HUGO |
| State | MN |
| Zip Code | 55038-6064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154380467 | Joseph T Moriarity | Family Medicine | 14688 Everton Ave N, Hugo, MN 55038-6064 | 2006-03-23 |
| 1710446695 | Megan Hydukovich | Dietitian, Registered | 14688 Everton Ave N, Hugo, MN 55038-6071 | 2019-03-19 |
| 1063947307 | Sorenson Dental | Clinic/Center | 14688 Everton Ave N, Suite 104, Hugo, MN 55038-6064 | 2017-04-24 |
| 1134507783 | Erica Bowen | Family Medicine | 14688 Everton Ave N, Hugo, MN 55038-6071 | 2015-05-15 |
| 1659697894 | Elizabeth R Burnes | Family Medicine | 14688 Everton Ave N, Hugo, MN 55038-6064 | 2010-04-13 |
| 1437393402 | Maggi Leigh Johnson | Family Medicine | 14688 Everton Ave N, Hugo, MN 55038-6064 | 2009-04-21 |
| 1326056102 | Associated Eye Care Optical LLC | Eyewear Supplier (Equipment, not the service) | 14688 Everton Ave N, Suite 106, Hugo, MN 55038-6064 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| Find all providers in zip 55038 | ||||
| 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 |
|---|---|---|---|---|
| 1609234822 | Arturo Davalos | Dentist | 410 N M St, Hugo, OK 74743 | 2016-02-02 |
| 1346418571 | Kristen Sheryl-swenby Eklund | Dentist | 5677 147th St N, Hugo, MN 55038-9302 | 2008-02-11 |
| 1730367947 | Patrick Joseph Merritt | Dentist | 5677 147th St N, Hugo, MN 55038-9302 | 2008-02-11 |
| 1447366802 | Anthony Wade Rowland | Dentist | 1201 E Jackson St, Hugo, OK 74743-4229 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
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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.