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

Justin Vance Sorensen, DMD

Individual provider Dentist · NPI 1073015517

Justin Vance Sorensen, DMD is a Dentist in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5058 E Southern Ave Ste 101
Mesa, AZ 85206-2771
Phone: (480) 325-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D012643 (AZ)

Record details

NPI number1073015517
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

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