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Active NPI 1457326878 Individual Practitioner Male Practitioner

Scott Soderstrom , DDSPC

Dentist - General Practice • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Scott Soderstrom, DDSPC is a registered healthcare professional specializing in Dentist - General Practice in Spokane, WA. Practice services are available at 101 W CASCADE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 W Cascade Way
Suite 200

Spokane, WA 992086003

Telephone 5094675202
Fax 5094660518
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Spokane, WA (3345 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

CMS Verified: 2024-01-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00008668

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5037479 (WA)
Commercial Insurance / Payer ID State Dental License
DE00008668 (WA)
Commercial Insurance / Payer ID United Concordia Id
21933 (WA)
Commercial Insurance / Payer ID Unified Business Id
602-040-560 (WA)
Commercial Insurance / Payer ID Blue Cross
1287SO
Commercial Insurance / Payer ID Labor And Industries Id#
0150532 (WA)
Commercial Insurance / Payer ID Ada Number
174980063
Commercial Insurance / Payer ID Tax Id #
91-2051287

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Neal Curtis , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1003030396

Doctor of Dental Surgery

Dr. Raymond Erickson , DDS

Dentist - Prosthodontics

NPI 1023175627

Doctor of Dental Surgery

Dr. Terrance Hauck , MD, DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1033109723

Doctor of Medicine (M.D.), Doctor of Dental Surgery

Dr. Robert Walker , DDS

Dentist - General Practice

NPI 1275545121

Doctor of Dental Surgery

Dr. Gerald Smith , DDS MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1467525964

DDSMSD

Dr. John Ames , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1790775245

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated March 06, 2023

Recorded as SCOTT SODERSTROM, D D S P C

👤
Provider Name / Credentials Updated September 11, 2019

Recorded as SCOTT SODERSTROM, DDS, PC

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 101 W CASCADE WAY, SUITE 200, SPOKANE, WA 992086003 (Tel: 5094675202)

📍
Updated Business Mailing Address July 08, 2007

Registered at 101 W CASCADE WAY, SUITE 200, SPOKANE, WA 992086003 (Tel: 5094675202)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT SODERSTROM, DDS

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

Dentist (License #DE00008668 in WA)

🟢
Initial NPI Registration & Enumeration February 20, 2006

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: 1457326878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2006
Last Update: January 29, 2024
Sole Proprietor: Yes

Mailing Address

101 W Cascade Way, Suite 200

Spokane, WA 992086003

Phone: 5094675202

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.