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Search › Idaho › 1223G0001X

Olav Sorensen, D.M.D

NPI 1184999708 · on the registry since 2012

Practice

Address
621 Jensen Grove Dr
Blackfoot, ID 83221
Phone
(208) 915-8419
Organisation at this address
Smiles 4 Kids Blackfoot Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 8744 W Fairview Ave, Boise, ID
  • 452 Cheney Dr W Ste 150, Twin Falls, ID

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho