Bret J Sorensen
LBN: Pediatric Dental Care
Bret J Sorensen is an health care organization with primary practice located at 497 N Main St , Spanish Fork UT 84660-3002. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Pediatric Dental Care can be contacted via phone (801) 798-2100, or through Sorensen, Bret J via phone (801) 798-2100.
Contact Information
Primary practice address
497 N Main St
Spanish Fork UT 84660-3002
Phone: (801) 798-2100
Fax: (801) 798-9977
Website:
Authorized official contact:
Name: Sorensen, Bret J Doctor of Dental Surgery (DDS)
Phone: (801) 798-2100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 363178-9923 | Utah |
Profile Details
| NPI number | 1174070015 |
|---|---|
| LBN Legal business name | Pediatric Dental Care |
| DBA Doing business as | Bret J Sorensen |
| Authorized official | Sorensen, Bret J Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2016 |
| Last updated | Sep 8th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174070015 | NPPES |
| Utah | MEDICAID | 529511826002 | |
| Utah | MEDICAID | 528178604002 |
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