Randy Lee Sorensen is a Dentist in Lewiston, Idaho. Randy Lee Sorensen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randy Lee Sorensen is 1124037924. The last update date is 2007-07-08.
Randy Lee Sorensen's current location address is 939 Bryden Ave, Lewiston, Idaho. You can contact this provider via phone number 2087462668. The mailing address for Randy Lee Sorensen is 939 Bryden Ave, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Randy Lee Sorensen |
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Address | 939 Bryden Ave, Lewiston, Idaho |
Phone Number | 2087462668 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.M.D. |
NPI Number Detail
NPI Number | 1124037924 |
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Provider Enumeration Date | 2006-08-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 939 Bryden Ave |
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City | Lewiston |
State | Idaho (ID) |
Post Code | 835015057 |
Phone Number | 2087462668 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | D3092 |
Definition: 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: denti |
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What is the Randy Lee Sorensen's unique identification number?
The Randy Lee Sorensen has been assigned the NPI (National Provider Identifier) Number 1124037924 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Randy Lee Sorensen's facilities are geographically located?
The facilities of Randy Lee Sorensen are physically situated at the following location: 939 Bryden Ave, Lewiston, ID, 835015057.
What is Randy Lee Sorensen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randy Lee Sorensen is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Randy Lee Sorensen's 1124037924 issued?
The Randy Lee Sorensen's 1124037924 was issued on 2006-08-08.
As of what date were the Randy Lee Sorensen's details last updated?
The information pertaining to the Randy Lee Sorensen, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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