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General NPI Number Information
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NPI Number | 1780595538
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Entity Type | Organization
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Legal Business Name | SORELLA DENTAL COLLECTIVE PLLC
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Dates
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Enumeration Date | 09/12/2026
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Last Update Date | 09/12/2026
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Provider Practice Location Address
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Address Line | 2075 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34994-4609
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Country | US
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Telephone | 772-288-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 725 SW WISPER BAY DR
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City | PALM CITY
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State | FL
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Zip | 34990-1429
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Country | US
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Telephone | 321-794-2030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER PERNA
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Credential | DMD
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Telephone | 321-794-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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