person
Dr. Jared Michael Sorensen, DDS
Pediatric Dentist in Phoenix, Arizona
NPI 1104055771

Jared Michael Sorensen is a Pediatric Dentist based in Phoenix, AZ and is specialized in Pediatric Dentistry. Jared Michael Sorensen practices in Phoenix, AZ and has the professional credentials of DDS. The NPI Number for Jared Michael Sorensen is 1104055771 and holds a License No. (Arizona).

The current practice location address for Jared Michael Sorensen is 6750 N 19Th Ave, Phoenix, AZ and can be reached out via phone at 602-242-5741 and via fax at 602-242-5742.

Location: 6750 N 19Th Ave, Phoenix, AZ, 85015-1127
person
Provider Profile Details
NPI Number
1104055771
Provider Name
Jared Michael Sorensen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6750 N 19Th Ave, Phoenix, AZ, 85015-1127
Phone Number
602-242-5741
Fax Number
602-242-5742
Provider Enumeration Date
07/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6750 N 19Th Ave
City
State
Zip
85015-1127
Phone Number
602-242-5741
Fax Number
602-242-5742
person
Provider Business Mailing Address Details
Address
6750 N 19Th Ave
City
State
Zip
85015-1127
Phone Number
602-242-5741
Fax Number
602-242-5742
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D008158 (Arizona)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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