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General NPI Number Information
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NPI Number | 1457236267
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Entity Type | Organization
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Legal Business Name | SORSOK DENTAL PLLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2557 NURSERY RD STE D
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City | CLEARWATER
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State | FL
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Zip | 33764-1781
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Country | US
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Telephone | 727-761-9919
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Fax |
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Provider Business Mailing Address
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Address Line | 3218 W PAUL AVE
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City | TAMPA
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State | FL
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Zip | 33611-3715
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. MATTHEW SORSOK
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Credential | DDS
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Telephone | 813-476-5978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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