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Dr. Scott Soderstrom, DDSPC
General Practice Dentistry in Spokane, Washington
NPI 1457326878

Scott Soderstrom is a General Practice Dentistry based in Spokane, WA and is specialized in General Practice. Scott Soderstrom practices in Spokane, WA and has the professional credentials of DDSPC. The NPI Number for Scott Soderstrom is 1457326878 and holds a License No. DE00008668 (Washington).

The current practice location address for Scott Soderstrom is 101 W Cascade Way, Spokane, WA and can be reached out via phone at 509-467-5202 and via fax at 509-466-0518. You can also correspond with Scott Soderstrom through the mailing address at 101 W CASCADE WAY, SPOKANE, WA - 99208-6003 (mailing address contact number: 509-467-5202).

Location: 101 W Cascade Way, Spokane, WA, 99208-6003
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Provider Profile Details
NPI Number
1457326878
Provider Name
Scott Soderstrom
Credential
DDSPC
Provider Entity Type
Individual
Gender
Male
Address
101 W Cascade Way, Spokane, WA, 99208-6003
Phone Number
509-467-5202
Fax Number
509-466-0518
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5037479 05 WA
DE00008668 01 WA STATE DENTAL LICENSE
21933 01 WA UNITED CONCORDIA ID
602-040-560 01 WA UNIFIED BUSINESS ID
1287SO 01 BLUE CROSS
0150532 01 WA LABOR AND INDUSTRIES ID#
174980063 01 ADA NUMBER
91-2051287 01 TAX ID #
institution
Provider Business Practice Location Address Details
Address
101 W Cascade Way
City
State
Zip
99208-6003
Phone Number
509-467-5202
Fax Number
509-466-0518
person
Provider Business Mailing Address Details
Address
101 W Cascade Way
City
State
Zip
99208-6003
Phone Number
509-467-5202
Fax Number
509-466-0518
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DE00008668 (Washington)
Definition
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.
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