Provider Demographics
NPI:1063107837
Name:SORTO, LAUREN JULISSA (DDS)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:JULISSA
Last Name:SORTO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6855 E CAMELBACK RD UNIT 3018
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2329
Mailing Address - Country:US
Mailing Address - Phone:347-935-8609
Mailing Address - Fax:
Practice Address - Street 1:14858 N FRANK LLOYD WRIGHT BLVD STE 165A
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2216
Practice Address - Country:US
Practice Address - Phone:480-860-4455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2025-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD012633122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist