Sorenson Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D13363 Issued in MN

Legal business name

SORENSON DENTAL

Practice address

14688 Everton Ave N
Suite 104
Hugo, MN 55038-6064

Phone

(651) 204-0201

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Brent S SorensonNPI 1952713026

Title

Owner

Phone

(651) 204-0201

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Sorenson, D.D.S.

  • General Practice Dentistry
  • Hugo, MN
  • NPI 1952713026
  NPD (past) Authorized official

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1063947307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14688 EVERTON AVE N",
            "address_2": "SUITE 104",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550386064",
            "telephone_number": "651-204-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14688 EVERTON AVE N",
            "address_2": "SUITE 104",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550386064",
            "telephone_number": "651-204-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORENSON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-204-0201",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D13363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Shiltz
• Alicia Marie Skupa, PA-C
• Abigail Murphy Smith
• Anja Smith, DPT
• Penelope Juvrud Smith, MD
• Brent Sorenson, D.D.S.
• Nicholas H Sorenson, PA-C
• St. Croix Valley Dental (Oneka Dental)
• Marah Steele
• Nickolas Alan Steer, DO

• Dental Clinic/Center in Hugo, MN
• Providers in Hugo, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.