Jeffrey L Sorensen DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

WI3640 Issued in WI

Legal business name

JEFFREY L SORENSEN DDS

Practice address

24418 75TH St
Salem, WI 53168-9703

Phone

(262) 843-2004

Fax

(262) 843-2832

NPI assigned

Apr 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shari Pfenninger

Title

Insurance Processor

Phone

(262) 843-2004

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cody Ray Bollendorf, DDS

  • General Practice Dentistry
  • Salem, WI
  • NPI 1093551327
  NPD (past)
• Jeffrey L Sorensen, DDS

  • General Practice Dentistry
  • Salem, WI
  • NPI 1972648459
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740406396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24418 75TH ST",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689703",
            "telephone_number": "262-843-2004",
            "fax_number": "262-843-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24418 75TH ST",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689703",
            "telephone_number": "262-843-2004",
            "fax_number": "262-843-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L SORENSEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PFENNINGER",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "INSURANCE PROCESSOR",
        "authorized_official_telephone_number": "262-843-2004"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "WI3640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis R Hill, PT
• Holistic International Systems, LLC
• Kenneth Franklin Horner, PHARMD
• Rubina S Hussain, MD
• James M. Bury, MD, LTD.
• Shamshir K Kang, OTR/L
• Samantha Koralesky, L.AC
• Mary Elizabeth Kyle, DPT
• Lifetime Dental Care of Wisconsin, S.C. (Jeffrey L. Sorensen, DDS)
• Jessica M Lois, OT

• General Practice Dentistry in Salem, WI
• Providers in Salem, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.