Terry R. Sorenson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

341546 Issued in UT

Practice address

12569 S 2700 W Ste 100
Riverton, UT 84065-7191

Phone

(801) 254-7272

Fax

(801) 254-6565

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• UT PPO D-SNP

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184755167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12569 S 2700 W STE 100",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657191",
            "telephone_number": "801-254-7272",
            "fax_number": "801-254-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12569 S 2700 W STE 100",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657191",
            "telephone_number": "801-254-7272",
            "fax_number": "801-254-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "TERRY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "341546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent J Smith, M.D.
• Michael John Smith Jr., D.C.
• Michelle Lee Smith, APRN
• Rebecca Corina Reyes Snedegar
• Shelby Snyder, LCSW
• South Hills Orthodontics
• South Hills Pediatric Dental Specialists, LLC
• South Hills Pediatric Dentistry
• South Valley Compounding Pharmacy LLC (South Valley Compounding Pharmacy)
• Andrea Graham Southerland, NP

• General Practice Dentistry in Riverton, UT
• Providers in Riverton, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.