1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Dentist
  6. NPI Profile

JUSTIN VANCE SORENSEN DMD
NPI 1073015517
Dentist in Mesa, AZ

Active since March 01, 2018
5058 E SOUTHERN AVE STE 101, MESA, AZ 85206(480) 325-7500 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Mar 1, 2018 (2 updates tracked since 2018).

About Justin Vance Sorensen Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN VANCE SORENSEN DMD (NPI 1073015517) is an individual dentist in Mesa, Arizona, licensed in Arizona (D012643) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1073015517
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJUSTIN VANCE SORENSENCredential: DMD
Location Address5058 E SOUTHERN AVE STE 101Mesa, AZ 85206-2771
Mailing Address3764 E Indigo Bay CtGilbert, AZ 85234-0030 · (928) 322-2481
Phone(480) 325-7500
Sole ProprietorNo
Enumeration DateMarch 1, 2018
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1073015517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012643
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: 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.
5058 E SOUTHERN AVE STE 101, Mesa, AZ 85206
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OP ORTHODONTICS OF ARIZONA PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
5058 E SOUTHERN AVE STE 101
MESA, AZ 85206
Maricopa County (480) 325-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Sorensen's NPI number?

The NPI number for Justin Sorensen is 1073015517. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Justin Sorensen located?

Justin Sorensen practices at 5058 E Southern Ave Ste 101, Mesa, AZ 85206. The listed phone number is (480) 325-7500.

What is Justin Sorensen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Justin Sorensen was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.