Stanford Sorensen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D12320 Issued in OR

Practice address

295 S 10TH St
Coos Bay, OR 97420-4623

Phone

(541) 269-5353

NPI assigned

Mar 24, 2026

Last updated

May 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Coast Dental Group LLC

  dba South Coast Family Dentistry

  • Dentist
  • Coos Bay, OR
  • NPI 1790096402
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1023956406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 10TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204623",
            "telephone_number": "541-269-5353",
            "fax_number": "541-266-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 10TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204623",
            "telephone_number": "541-269-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Delaware Ave SE",
            "address_purpose": "LOCATION",
            "city": "Bandon",
            "state": "OR",
            "postal_code": "974119471",
            "country_code": "US",
            "telephone_number": "541-551-7347",
            "fax_number": "541-266-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "STANFORD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D12320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D12320",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle R. Snyder, MSW, LCSW
• Roger D Soard, D.C.
• Betsy E Soifer, MD,PHD
• Geraldine Ann Javier Somera, MD
• Gregory Sopka, PA
• John Soukup, PT, MTC
• South Coast Anesthesia Associates LLC
• South Coast Billing Service
• South Coast Business Employment Corporation
• South Coast Dental Group LLC (South Coast Family Dentistry)

• Dentist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.