Individual provider · Type 1 NPI

Jared Michael Sorensen, DDS

Pediatric Dentistry · Phoenix, AZ

NPI number 1104055771 Active

Practice location

6750 N 19th Ave
Phoenix, AZ 85015-1127

Call (602) 242-5741 Map

Fax (602) 242-5742

Other practice locations

  • 5400 W Northern Ave Ste 102, Glendale, AZ 85301-1590 · (623) 500-5790

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221XD008158 (AZ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1104055771

Jared Michael Sorensen, DDS's National Provider Identifier is 1104055771, issued on Jul 4, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 17, 2020.