CDP LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CDP LLC

Doing business as

Clarksville Dental Care

Practice address

529 E Lewis and Clark Pkwy
Clarksville, IN 47129-1729

Phone

(812) 725-9200

Fax

(812) 725-9313

NPI assigned

Apr 13, 2011

Last updated

Mar 22, 2024By 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

Dr. Justin Harold Sorenson, DMDNPI 1871889857

Title

Member

Phone

(812) 725-9200

Specialties & licenses 1

Addresses

Other names 1

• Clarksville Dental Care Doing business as

Practitioners 1

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.

• Justin Harold Sorenson, DMD

  • General Practice Dentistry
  • Clarksville, IN
  • NPI 1871889857
  NPD Authorized official

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1891085775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291729",
            "telephone_number": "812-725-9200",
            "fax_number": "812-725-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291729",
            "telephone_number": "812-725-9200",
            "fax_number": "812-725-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-725-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksville Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chasidy A Carpenter
• Sara Carpenter
• Suzanne Audrey Carpenter, SLP
• Charles Carter
• David Caudell
• Centerwell Senior Primary Care in PC (CenterWell Senior Primary Care-Veterans)
• Alexandria Chastain
• Donielle Chrappa, RBT
• Kaylie S Christian, RBT
• Christopher E. Carter, P.C. (The Wellness Center and Chiropractic)

• General Practice Dentistry in Clarksville, IN
• Providers in Clarksville, 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 Mar 22, 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.