Lodi Valley Gentle Dental LLP

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5001592 Issued in WI

Legal business name

LODI VALLEY GENTLE DENTAL LLP

Practice address

216 S Main St
Lodi, WI 53555-1121

Phone

(608) 592-4398

Fax

(608) 592-5245

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gene Richard Sorensen, DDSNPI 1093814659

Title

Partnerchip Co-Owner

Phone

(608) 592-4398

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gene Richard Sorensen, DDS

  • General Practice Dentistry
  • Lodi, WI
  • NPI 1093814659
  NPD (past) Authorized official
• Joel Patrick Crane, DDS

  • General Practice Dentistry
  • Lodi, WI
  • NPI 1740389238
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861694929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551121",
            "telephone_number": "608-592-4398",
            "fax_number": "608-592-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551121",
            "telephone_number": "608-592-4398",
            "fax_number": "608-592-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI VALLEY GENTLE DENTAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNERCHIP CO-OWNER",
        "authorized_official_telephone_number": "608-592-4398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5001592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33561900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lodi Area EMS
• Lodi Chiropractic Clinic, LLC
• Lodi Hometown Pharmacy LLC
• Lodi Hometown Pharmacy LLC
• Lodi School District
• Deanna C Lord, PA
• Nora Marie Mack
• Noah Leo Maerz, MD
• Cheryl Manning
• Gail Ann May, M.S.,P.T.

• Dental Clinic/Center in Lodi, WI
• Providers in Lodi, WI by specialty
• Dental Clinic/Center 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.