NPI 1750679577

Dr. David J. Sorensen, DMD, PC

Organisation Health Maintenance Organization Spanish Fork, UT

Practice location

Address: 90 W 600 N, Spanish Fork, UT 84660-1400
Phone: (801) 798-7545
Mailing address: PO Box 1118, Spanish Fork, UT 84660-7118

Authorised official

Name: David James Sorensen
Title: Dentist/Owner
Phone: (801) 798-7545

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 133126 (UT)

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Registry record

NPI: 1750679577
Entity type: Organization
NPI issued: 13 Jul 2011
Record last updated: 13 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.