WILLIAM P SORENSEN (NPI# 1629177613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629177613 |
| Entity Type | Individual |
| Full Name | WILLIAM P SORENSEN |
| Credential | DDS MS |
| Practice Address |
2715 Packard St Suite C Ann Arbor MI 48108 |
| Practice Telephone | 7348222200 |
| Practice Fax Number | 7348222203 |
| Mailing Telephone | 7348222200 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
10186 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883350 | William David Sorensen | Technician, Other | 3036 Cerro Cir, Rocklin, CA 95677-1720 | 2020-02-19 |
| 1558924720 | William Sorensen | Pharmacist | 522 E Houghton Ave Ste 102, West Branch, MI 48661-1184 | 2019-04-15 |
| Street Address |
2715 PACKARD ST SUITE C |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154659381 | Julius Edwin Bunek II | Dentist | 2715 Packard St, Ann Arbor, MI 48108-3336 | 2009-11-30 |
| 1558570341 | Craig Leonard Blogin | Dentist | 2715 Packard St, Suite B, Ann Arbor, MI 48108-3336 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134605 | Bay Periodontics | Dentist | 1666 Towsley Ln, Ann Arbor, MI 48105-9336 | 2020-08-10 |
| 1699309500 | Ann Arbor Periodontics | Dentist | 2715 Packard St Ste C, Ann Arbor, MI 48108-3365 | 2020-02-29 |
| 1861722993 | Heba Abuhussein | Dentist | 290 Columbus Dr, Ann Arbor, MI 48103-2791 | 2010-01-13 |
| 1871798314 | Nivedita Kumar | Dentist | 2755 Carpenter Rd Ste 2, Ann Arbor, MI 48108-1186 | 2007-06-15 |
| 1598784837 | Mark David Zahn | Dentist | 2207 Jackson Ave, Ann Arbor, MI 48103-3919 | 2006-07-18 |
| 1982041836 | Alexandra Blake Plonka | Dentist | 1011 N University Ave, Department of Periodontics and Oral Medicine, Ann Arbor, MI 48109-1078 | 2013-06-02 |
| 1639434301 | Lindsey Marie Steele | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2012-07-09 |
| 1588978647 | Suzanne Anderson Mason | Dentist | 1011 N University Ave, Univ. of Michigan School of Dentistry, Ann Arbor, MI 48109-1078 | 2010-08-01 |
| 1154659381 | Julius Edwin Bunek II | Dentist | 2715 Packard St, Ann Arbor, MI 48108-3336 | 2009-11-30 |
| 1376784942 | Jill Dawn Bashutski | Dentist | 1011 N University Ave, Rm 1324, Ann Arbor, MI 48109-1078 | 2009-03-11 |
| Find all providers in ANN ARBOR | ||||
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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.