Provider Demographics
NPI:1770854697
Name:R. ADRIAN SORENSON DDS AND WILLIAM R. MONACELL DDS
Entity Type:Organization
Organization Name:R. ADRIAN SORENSON DDS AND WILLIAM R. MONACELL DDS
Other - Org Name:MIDLOTHIAN FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ADRIAN
Authorized Official - Last Name:SORENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-897-7900
Mailing Address - Street 1:14420 SOMMERVILLE CT.
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113
Mailing Address - Country:US
Mailing Address - Phone:804-897-7900
Mailing Address - Fax:804-897-4048
Practice Address - Street 1:14420 SOMMERVILLE CT.
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113
Practice Address - Country:US
Practice Address - Phone:804-897-7900
Practice Address - Fax:804-897-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty