Dr. Andrew Phillip Soderstrom , DDS
Dentist - Pediatric Dentistry • Modesto, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Andrew Soderstrom has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Andrew Soderstrom, DDS was a registered Dentist - Pediatric Dentistry practicing in Modesto, CA. Throughout an active medical career spanning 13 years, Dr. Soderstrom provided care at the practice location at 1605 TIMOTHY AVE until profile deactivation on 2020-05-28.
Practice Location & Contact Primary Location
1605 Timothy Ave
Suite B
Modesto, CA 953504419
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - Pediatric Dentistry in Modesto, CA
Practicing in Modesto, CA (1373 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223P0221X
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 28, 2020
NPI status registered as active in NPPES database
Registered at 1605 TIMOTHY AVE, SUITE B, MODESTO, CA 953504419 (Tel: 2095795437)
Registered at 1605 TIMOTHY AVE, SUITE B, MODESTO, CA 953504419 (Tel: 2095795437)
Recorded as ANDREW SODERSTROM, D.D.S.
Dentist (License #31865 in CA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Dr. Andrew Soderstrom
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
1605 Timothy Ave, Suite B
Modesto, CA 953504419
Phone: 2095795437
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.