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Active NPI 1104944537 Individual Practitioner Male Practitioner

Dr. Peter Thomas Soderstrom , DDS, MS

Dentist - Prosthodontics • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Soderstrom, DDS, MS is a registered healthcare professional specializing in Dentist - Prosthodontics in Modesto, CA. Practice services are available at 1605 TIMOTHY AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1605 Timothy Ave Ste A

Modesto, CA 953504419

Telephone 2095440404
Fax 2095441008

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Modesto, CA (497 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License CA 36835

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1605 TIMOTHY AVE STE A, MODESTO, CA 953504419 (Tel: 2095440404)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1605 TIMOTHY AVE STE A, MODESTO, CA 953504419 (Tel: 2095440404)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER SODERSTROM, DDS, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #36835 in CA)

🟢
Initial NPI Registration & Enumeration March 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104944537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1605 Timothy Ave Ste A

Modesto, CA 953504419

Phone: 2095440404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.