Jeffrey L Sorensen DDS

NPI #1740406396 in Salem, Wisconsin

Provider Information

NPI Number: 1740406396
Entity Type: Organization
Organization Name: Jeffrey L Sorensen DDS
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 24418 75TH ST
City: Salem
State: Wisconsin
ZIP Code: 53168-9703
Phone: (262) 843-2004

Authorized Official

Name: SHARI PFENNINGER
Title: INSURANCE PROCESSOR
Phone: (262) 843-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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