| Jeffrey L Sorensen Dds | |
|
24418 75th St Salem WI 53168-9703 | |
| (262) 843-2004 | |
| (262) 843-2832 |
| Full Name | Jeffrey L Sorensen Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24418 75th St, Salem, Wisconsin |
| Authorized Official Name and Position | Shari Pfenninger (INSURANCE PROCESSOR) |
| Authorized Official Contact | 2628432004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Sorensen Dds 24418 75th St Salem WI 53168-9703 Ph: (262) 843-2004 | Jeffrey L Sorensen Dds 24418 75th St Salem WI 53168-9703 Ph: (262) 843-2004 |
| NPI Number | 1740406396 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740406396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WI3640 (Wisconsin) | Primary |
Fulmer Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7137 236th Ave Ste 108, Salem, WI 53168 Phone: 262-843-4643 | |
Jeffrey L. Sorensen, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24418 75th St, Salem, WI 53168 Phone: 262-843-2004 |