DR. RANDY LEE SORENSEN (NPI# 1124037924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124037924 |
| Entity Type | Individual |
| Full Name | DR. RANDY LEE SORENSEN |
| Credential | D.M.D. |
| Practice Address |
939 Bryden Ave Lewiston ID 83501-5057 |
| Practice Telephone | 2087462668 |
| Mailing Telephone | 2087462668 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D3092 | ID | Dental Providers |
| Street Address |
939 BRYDEN AVE |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-5057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910371 | James E Pierce | Dentist | 939 Bryden Ave, #2, Lewiston, ID 83501-5057 | 2005-05-31 |
| 1750947925 | Two Rivers Family & Cosmetic Dentistry, Pa | Clinic/Center | 939 Bryden Ave, Lewiston, ID 83501-5057 | 2019-05-14 |
| 1558752204 | Bryden Family Vision | Optometrist | 939 Bryden Ave, Lewiston, ID 83501-5057 | 2015-02-16 |
| 1588071633 | Jason Scott Ritter | Optometrist | 939 Bryden Ave, Lewiston, ID 83501-5057 | 2014-07-21 |
| 1649601006 | Carmine Petracca | Clinic/Center | 939 Bryden Ave, Lewiston, ID 83501-5057 | 2013-12-10 |
| 1932119161 | Randy L. Sorensen Dmd Pa | Dentist | 939 Bryden Ave, Lewiston, ID 83501-5057 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699125674 | Nathan Erin Leavitt | Dentist | 3326 4th St Ste 1, Lewiston, ID 83501-4455 | 2016-06-21 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1376682138 | Rosemarie G Sheline | Dentist | 110 Canal St, Lewiston, ME 04240-7710 | 2007-02-06 |
| 1104907294 | Jason C Marshall | Dentist | 850 Center St, Lewiston, NY 14092-1755 | 2006-10-17 |
| 1568568269 | Bret Boyle Christensen | Dentist | 77 Southway Ave, Ste D, Lewiston, ID 83501-2200 | 2006-09-16 |
| 1992813182 | Jonathan Becket Nash | Dentist | 2517 17th St, Suite A, Lewiston, ID 83501 | 2006-08-28 |
| 1336151133 | Stuart Ronald Cohen | Dentist | 185 Webster St, Lewiston, ME 04240-5596 | 2006-08-12 |
| 1831104249 | Galen K. Haas Dds Pa | Dentist | 1639 23rd Ave, Lewiston, ID 83501-6308 | 2006-07-31 |
| 1699704031 | Mitchell Auster | Dentist | 1065 Lisbon St, Lewiston, ME 04240-5749 | 2006-06-30 |
| 1013910371 | James E Pierce | Dentist | 939 Bryden Ave, #2, Lewiston, ID 83501-5057 | 2005-05-31 |
| Find all providers in LEWISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.