| Travis M Sorensen, DDS | |
|
625 E 500 S Ste 204, Bountiful, UT 84010-3883 | |
| (801) 298-2242 | |
| (801) 294-9920 |
| Full Name | Travis M Sorensen |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 625 E 500 S Ste 204, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679878938 | NPI | - | NPPES |
| Entity Name | Bountiful Oral Surgery PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861147100 PECOS PAC ID: 5991210494 Enrollment ID: O20250714003715 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis M Sorensen, DDS 625 E 500 S Ste 204, Bountiful, UT 84010-3883 Ph: (801) 298-2242 | Travis M Sorensen, DDS 625 E 500 S Ste 204, Bountiful, UT 84010-3883 Ph: (801) 298-2242 |
Gregory G. Oman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1480 South Orchard Drive, Bountiful, UT 84010 Phone: 801-298-9441 Fax: 801-298-9445 |
Karli Lynn Wilson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 24 S 500 W, Bountiful, UT 84010 Phone: 801-296-1606 |
Dr. Joseph Feller, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 E 500 S, Suite 201, Bountiful, UT 84010 Phone: 801-295-3467 Fax: 801-295-5786 |
Phillip Peter Olsen, DMD Dentist Medicare: Medicare Enrolled Practice Location: 625 E 500 S, Suite 202, Bountiful, UT 84010 Phone: 801-292-4141 |
Dr. Fred William Luedtke, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1260 S. 500 W., Bountiful, UT 84010 Phone: 801-294-6174 |
Dr. Matthew Hubbard Mackay, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 425 Medical Dr. Suite 211, Bountiful, UT 84010 Phone: 801-397-2323 Fax: 801-397-1119 |
Dr. Anthony J Baird, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1455 S 500 W, Suite D, Bountiful, UT 84010 Phone: 801-292-4009 Fax: 801-292-3278 |