Active NPI
Gilbert Sonoma Oral Surgery, P.C.
- Oral and Maxillofacial Surgery (Dentist)
- Gilbert, AZ
National Provider Identifier
1083369334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- GILBERT SONOMA ORAL SURGERY, P.C.
- Practice address
- 7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284 - Phone
- (480) 279-3113
- NPI assigned
- Feb 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dayne Jensen, MD,DMD
- Title
- Owner
- Phone
- (480) 279-3113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284
Mailing address
7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284
National Provider Directory
National Provider DirectoryLocations
7400 S Power Rd
Ste 136
Gilbert, AZ 85297
Phone (480) 279-3111
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Gilbert, AZ
- NPI 1538416359
-
- Oral and Maxillofacial Surgery (Dentist)
- Gilbert, AZ
- NPI 1396883765
-
- Oral and Maxillofacial Surgery (Dentist)
- Goldsboro, NC
- NPI 1780831487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676937600000",
"number": "1083369334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 S POWER RD STE 136",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852979284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 S POWER RD STE 136",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852979284",
"telephone_number": "480-279-3113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILBERT SONOMA ORAL SURGERY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-15",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "DAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-279-3113",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD,DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.