IndividualActive
Jennifer Sorge, DDS
NPI 1750992111 · General Practice Dentistry · Vineyard, UT
Provider details
- NPI number
- 1750992111
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 11778108-9922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
532 N Mallard Dr Unit a
Vineyard, UT 84059-6606
Phone: (210) 213-8685
Approximate (ZIP-level) locationGet directions
Mailing address
532 N Mallard Dr Unit a
Vineyard, UT 84059-6606
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.