Yuma Sonoma Oral Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

YUMA SONOMA ORAL SURGERY, P.C.

Practice address

120 W 24TH St
Yuma, AZ 85364-8551

Phone

(928) 329-6447

NPI assigned

Feb 15, 2022

Organization subpart

No

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

(801) 698-7121

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.

• Jared Wayne Mack, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • St George, UT
  • NPI 1306092663
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1356096606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648551",
            "telephone_number": "928-329-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA SONOMA ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-698-7121",
        "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": []
}

• Yuma Safe Trans
• Yuma School District One
• Yuma Senior Care, LLC
• Yuma Senior Living, LLC
• Yuma Sleep Associates LLC
• Yuma Southwest Medicine
• Yuma Surgery Center, LLC
• Yuma TMS PLLC
• Yuma Treatment Center LLC
• Yuma Union High School District # 70

• Oral and Maxillofacial Surgery (Dentist) in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.