Individual provider · Type 1 NPI

Justin Vance Sorensen, DMD

Dentist · Mesa, AZ

NPI number 1073015517 Active

Practice location

5058 E Southern Ave Ste 101
Mesa, AZ 85206-2771

Mailing address

3764 E Indigo Bay Ct
Gilbert, AZ 85234-0030

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD012643 (AZ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1073015517

Justin Vance Sorensen, DMD's National Provider Identifier is 1073015517, issued on Mar 1, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Mesa, AZ. The record was last updated on May 7, 2026.