Sorrento Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN17027 Issued in FL

Legal business name

SORRENTO DENTAL

Practice address

106 Julington Plaza Dr
Suite 6
Jacksonville, FL 32259-6217

Phone

(904) 230-5537

Fax

(904) 230-5539

NPI assigned

Dec 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jason Speigel, DMD

Title

Owner

Phone

(904) 230-5537

Specialties & licenses 1

Addresses

Other names 1

• Julington Dental Doing business as

Locations

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1376964353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JULINGTON PLAZA DR",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322596217",
            "telephone_number": "904-230-5537",
            "fax_number": "904-230-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JULINGTON PLAZA DR",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322596217",
            "telephone_number": "904-230-5537",
            "fax_number": "904-230-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORRENTO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "SPEIGEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-230-5537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julington Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sorinity Support Services of Florida LLC
• Michael John Sorna, M.D.
• Ashley Sorrells, MSW
• William S Sorrells, MD
• Mariano Sorrentino, MD
• Eleanor Bhat Sorresso, MD
• Tamara N Sorrye
• Lou Gena Sosa-Dedman, MSN-FNP, BSN, RN
• Kyara Sosa
• Raul Sosa, RPT

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.