Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jared Michael Sorensen, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104055771

Dr. Jared Michael Sorensen, DDS is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2009
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6750 N 19th Ave
Phoenix, AZ 85015-1127
Phone: (602) 242-5741
Fax: (602) 242-5742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D008158 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104055771
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 4, 2009
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

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