1. Home
  2. Directory
  3. Wisconsin
  4. Salem
  5. Dentist
  6. NPI Profile

JEFFREY L. SORENSEN, DDS
NPI 1558975177
Dentist - General Practice in Salem, WI

Active since September 01, 2020
24418 75TH ST, SALEM, WI 53168(262) 843-2004 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2022, Nov 23, 2022, May 5, 2021 and 1 more (4 updates tracked since 2020).

About Jeffrey L. Sorensen, Dds NPPES

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

JEFFREY L. SORENSEN, DDS (NPI 1558975177) is a healthcare organization registered as a general practice in Salem, Wisconsin and active in the NPI registry since September 2020. The organization lists Courtney Monteith, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1558975177
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF WISCONSIN, S.C.
Location Address24418 75TH STSalem, WI 53168-9703
Mailing Address24418 75th StSalem, WI 53168-9703
Phone(262) 843-2004
Organization SubpartYesParent: Heartland Dental
Authorized OfficialCourtney MonteithCredentialing Coordinator · (217) 540-8306
Enumeration DateSeptember 1, 2020
Last NPPES UpdateDecember 6, 20224 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1558975177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
24418 75TH ST, Salem, WI 53168
Open in Google Maps ↗

Other Names 1

Doing Business AsJeffrey L. Sorensen, Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

CODY RAY BOLLENDORF DDS
Dentist (General Practice)
24418 75TH ST
SALEM, WI 53168
Kenosha County (262) 843-2004
JEFFREY L SORENSEN DDS
Dentist (General Practice)
24418 75TH ST
SALEM, WI 53168
Kenosha County (262) 843-2004
DR. JEFFREY L SORENSEN DDS
Dentist (General Practice)
24418 75TH ST
SALEM, WI 53168
Kenosha County (262) 843-2004

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 Lifetime Dental Care Of Wisconsin, S.C.'s NPI number?

The NPI number for Lifetime Dental Care Of Wisconsin, S.C. is 1558975177. It was assigned to this organization in the NPPES registry on September 1, 2020. The provider is doing business as Jeffrey L. Sorensen, Dds.

Where is Lifetime Dental Care Of Wisconsin, S.C. located?

Lifetime Dental Care Of Wisconsin, S.C. is located at 24418 75th St, Salem, WI 53168. The listed phone number is (262) 843-2004.

What is Lifetime Dental Care Of Wisconsin, S.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lifetime Dental Care Of Wisconsin, S.C. was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.