Dr. James Walter Soderstrom , DDS
Dentist - General Practice • Aurora, IL
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. James Soderstrom has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. James Soderstrom, DDS was a registered Dentist - General Practice practicing in Aurora, IL. Throughout an active medical career spanning 13 years, Dr. Soderstrom provided care at the practice location at 2121 W GALENA BLVD until profile deactivation on 2019-10-02.
Practice Location & Contact Primary Location
2121 W Galena Blvd
Aurora, IL 605063274
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Aurora, IL
Practicing in Aurora, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2121 W GALENA BLVD, AURORA, IL 605063274 (Tel: 6308977839)
Registered at 2121 W GALENA BLVD, AURORA, IL 605063274 (Tel: 6308977839)
Recorded as JAMES SODERSTROM, D.D.S.
Dentist (License #019.014408 in IL)
Record deactivated on October 02, 2019
NPI status registered as active in NPPES database
Registered at 2121 W GALENA BLVD, AURORA, IL 605063274 (Tel: 6308977839)
Registered at 2121 W GALENA BLVD, AURORA, IL 605063274 (Tel: 6308977839)
Recorded as JAMES SODERSTROM, D.D.S.
Dentist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2121 W Galena Blvd
Aurora, IL 605063274
Phone: 6308977839
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