Healthcare Provider Details

I. General information

NPI: 1780595538
Provider Name (Legal Business Name): SORELLA DENTAL COLLECTIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 S KANNER HWY
STUART FL
34994-4609
US

IV. Provider business mailing address

725 SW WISPER BAY DR
PALM CITY FL
34990-1429
US

V. Phone/Fax

Practice location:
  • Phone: 772-288-9901
  • Fax:
Mailing address:
  • Phone: 321-794-2030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER PERNA
Title or Position: OWNER
Credential: DMD
Phone: 321-794-2030