Jared Sobo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DRPM2734 Issued in FL

Practice address

1395 Center Dr RM D1-17
Gainesville, FL 32610-3006

Phone

(352) 273-5430

NPI assigned

Jul 14, 2023

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Michael J. Gordon, DDS, PA

  • General Practice Dentistry
  • Maiden, NC
  • NPI 1669150538
  NPD (past)

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1659050862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20953 ISLAND FOREST DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317101",
            "telephone_number": "704-763-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR RM D1-17",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103006",
            "telephone_number": "352-273-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBO",
        "first_name": "JARED",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRPM2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indaia Soares Leibovitch, DDS, MS
• Flavio M Soares, DDS
• Eric S Sobel, MD
• Richard M Sobel, MD
• Jose Raul Soberon Jr., M.D.
• Joshua Taylor Sockman
• Erik David Soderstrom, DNP
• Ryan Sofka
• Jessica R Sohn, DO
• Sakina H Sojar, MD

• Dentist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.