Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831508084 Individual Practitioner Male Practitioner

Dr. David Wallace Sorensen , DMD

Dentist • Ponte Vedra, FL

Professional Overview & Biography Verified Profile Summary

Dr. David Sorensen, DMD is a registered healthcare professional specializing in Dentist in Ponte Vedra, FL. Practice services are available at 460 TOWN PLAZA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

460 Town Plaza Ave
Suite 210

Ponte Vedra, FL 320815139

Telephone 9043957771
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ponte Vedra, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Ponte Vedra, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN20719

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Annette Van Horn , PsyD

Psychologist - Clinical

NPI 1366891277

Doctor of Psychology (Psy.D.)

Dr. Kathryn Fleming Hanson , PsyD

Psychologist - Clinical

NPI 1558740068

Doctor of Psychology (Psy.D.)

NPI 1922458686

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 25, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 25, 2017

Registered at 460 TOWN PLAZA AVE STE 210, PONTE VEDRA, FL 320815140 (Tel: 9043957771)

📍
Updated Practice Location January 25, 2017

Registered at 460 TOWN PLAZA AVE, SUITE 210, PONTE VEDRA, FL 320815139 (Tel: 9043957771)

👤
Provider Name / Credentials Updated January 25, 2017

Recorded as DAVID SORENSEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2017

Dentist (License #DN20719 in FL)

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2016

Registered at 460 TOWN PLAZA AVE, SUITE 210, PONTE VEDRA, FL 320815139 (Tel: 9047551966)

📍
Updated Business Mailing Address September 13, 2016

Registered at 334 WILLOW WINDS PKWY, SAINT JOHNS, FL 322597268 (Tel: 9047551966)

👤
Provider Name / Credentials Updated September 13, 2016

Recorded as DAVID SORENSEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Dentist (License #DN20719 in FL)

🟢
Initial NPI Registration & Enumeration August 12, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831508084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2014
Last Update: January 06, 2021
Sole Proprietor: No

Mailing Address

460 Town Plaza Ave Ste 210

Ponte Vedra, FL 320815140

Phone: 9043957771

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.