Dale Anthony Sorenson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008038A Issued in IN

Practice address

8166 Robin Hill Road
Newburgh, IN 47630-3086

Phone

(812) 853-0853

Fax

(812) 853-0854

NPI assigned

Oct 31, 2006

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

Other names 1

• Ms. Karen Lee Wetzel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780760918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8166 ROBIN HILL ROAD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303086",
            "telephone_number": "812-853-0853",
            "fax_number": "812-853-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 ROBIN HILL ROAD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303086",
            "telephone_number": "812-853-0853",
            "fax_number": "812-853-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "DALE",
        "middle_name": "ANTHONY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008038A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "WETZEL",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "OFFICE COORDINATOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer L Snyder, NP
• Kimberly Sue Snyder, PT
• Michael Snyder, M.D.
• Alicia Dawn Sollman, NP
• Kelsey Lynn Sollman, M.S. CF-SLP
• Madison Soultz, RBT
• Cassidy Sowell
• Marlee Spain
• Darla Speigner, NP
• Kinsey Spencer, RBT

• General Practice Dentistry in Newburgh, IN
• Providers in Newburgh, IN by specialty
• General Practice Dentistry in Indiana

• 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.