Sorensen, Mark Weldon

Sorensen, Mark Weldon is an sole proprietor health care provider with primary practice located at 8101 E Florentine Rd , Prescott Valley AZ 86314-8454. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Sorensen, Mark Weldon can be contacted via phone (928) 775-2545.

Contact Information

Primary practice address
8101 E Florentine Rd Prescott Valley AZ 86314-8454
Phone: (928) 775-2545
Fax: (928) 775-2535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D008900 Arizona

Profile Details

NPI number 1659690352
LBN Legal business name Sorensen, Mark Weldon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2010
Last updated Jul 15th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659690352 NPPES
Arizona MEDICAID 917971

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