<Unavail>
LBN: Randy L. Sorensen Dmd Pa
<Unavail> is an health care organization with primary practice located at 939 Bryden Ave , Lewiston ID 83501-5057. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Randy L. Sorensen Dmd Pa can be contacted via phone (208) 746-2668, or through Sorensen, Randy Lee via phone (208) 746-2668.
Contact Information
Primary practice address
939 Bryden Ave
Lewiston ID 83501-5057
Phone: (208) 746-2668
Fax:
Website:
Authorized official contact:
Name: Sorensen, Randy Lee Doctor of Dental Medicine (DMD)
Phone: (208) 746-2668
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D3092 | Idaho |
Profile Details
| NPI number | 1932119161 |
|---|---|
| LBN Legal business name | Randy L. Sorensen Dmd Pa |
| DBA Doing business as | <Unavail> |
| Authorized official | Sorensen, Randy Lee Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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.
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