DR. JAKE DANIEL SORENSEN (NPI# 1891073334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891073334 |
| Entity Type | Individual |
| Full Name | DR. JAKE DANIEL SORENSEN |
| Credential | D.D.S. |
| Practice Address |
40 W. Cache Valley Blvd. #2a Logan UT 84341 |
| Mailing Address |
169 South 380 East Smithfield UT 84335 |
| Practice Telephone | 4357878207 |
| Mailing Telephone | 4352136991 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8021465-8903 | UT | Dental Providers |
| Street Address |
40 W. CACHE VALLEY BLVD. #2A |
| City | LOGAN |
| State | UT |
| Zip Code | 84341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| 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 |
|---|---|---|---|---|
| 1821589516 | Sleep Well Idaho LLC | Dentist | 199 Quail Hollow Rd, Logan, UT 84321-6750 | 2018-05-29 |
| 1417211350 | Jeffrey David Wegener | Dentist | 1451 N 200 E Ste 200, Logan, UT 84341-7565 | 2012-06-26 |
| 1427343359 | Brian Daniel Boston | Dentist | 1320 N 600 E Ste 1, Logan, UT 84341-2474 | 2011-06-20 |
| 1366698870 | M. Andrew Johnson | Dentist | 41 E 400 N, #338, Logan, UT 84321-4020 | 2008-08-15 |
| 1881858637 | Lisa Jan Haddox-heston | Dentist | 1 Wildcat Way, Logan, WV 25601-3474 | 2008-07-10 |
| 1194983502 | Andrew C Olson | Dentist | 167 E 200 N Ste 6, Logan, UT 84321-4049 | 2008-06-02 |
| 1699988790 | Brent Wayne Gray | Dentist | 1445 N 400 E Ste 2, Logan, UT 84341-7564 | 2007-05-07 |
| 1750392833 | Brett T Skinner | Dentist | 150 E 200 N, Ste E, Logan, UT 84321 | 2006-08-11 |
| 1497764971 | Joseph P Blanch | Dentist | 167 E 200 N, Ste 6, Logan, UT 84321 | 2006-08-05 |
| 1295775245 | John P Smith Jr. | Dentist | 91 W Second Street, Logan, OH 43138 | 2006-06-07 |
| Find all providers in LOGAN | ||||
Please comment or provide details below to improve the information on DR. JAKE DANIEL SORENSEN.
| 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.