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JASON SORENSEN D.D.S. A PROFESSIONAL CORPORATION NPI 1952528671


NPI Information

NPI: 1952528671
Provider Name: JASON SORENSEN D.D.S. A PROFESSIONAL CORPORATION
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1480 W HERNDON AVE
FRESNO, CA
ZIP 93711
Phone: (559) 447-0544
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JASON SORENSEN D.D.S. A PROFESSIONAL CORPORATION is an oral and maxillofacial surgery dentist in Fresno, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. JASON SORENSEN D.D.S. A PROFESSIONAL CORPORATION NPI is 1952528671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1480 W HERNDON AVE
FRESNO, CA
ZIP 93711-552
Phone: (559) 447-0544
Fax: (559) 431-1827

The provider's authorized official is Jason Sorensen .
The authorized official title is President and has the following contact phone number (559) 447-0544.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 12/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery46690CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G9286601OTHERCALIFORNIADENTI-CAL PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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