| Jerold R Sorensen Dds A Professional Corporation | |
|
90 W 500 S Heber City UT 84032 | |
| (435) 654-1413 | |
| Not Available |
| Full Name | Jerold R Sorensen Dds A Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 90 W 500 S, Heber City, Utah |
| Authorized Official Name and Position | Jerry R. Sorensen (PRES) |
| Authorized Official Contact | 5594470544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerold R Sorensen Dds A Professional Corporation 90 W 500 S Heber City UT 84032 Ph: (435) 654-1413 | Jerold R Sorensen Dds A Professional Corporation 90 W 500 S Heber City UT 84032 Ph: (435) 654-1413 |
| NPI Number | 1770701476 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 10/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770701476 | NPI | - | NPPES |
| B2094403 | Other | CA | DENTICAL# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20944 (California) | Primary |
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