Dr. Scott Soderstrom is a Spokane, Washington based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Scott Soderstrom is DE00008668 for General Practice Dentistry in Washington. His current practice location is 101 W Cascade Way, Suite 200, Spokane. Patients can reach him at 509-467-5202.
Dr. Scott Soderstrom is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Scott Soderstrom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Scott Soderstrom
Specialization:
Dentist
Gender:
Male
Credentials:
D D S P C
Accepts Medicare Assignment:
No
Practice Address:
101 W Cascade Way, Suite 200, Spokane, Washington, 99208-6003
Phone:
509-467-5202
Fax:
509-466-0518
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1457326878
NPI Enumeration Date:
20 Feb, 2006
NPI Last Update On:
29 Jan, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Scott Soderstrom are as mentioned below.
License Number
Specialization
State
Status
DE00008668
General Practice Dentistry
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Scott Soderstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5037479
Medicaid
Washington
DE00008668
Other
Washington
STATE DENTAL LICENSE
21933
Other
Washington
UNITED CONCORDIA ID
602-040-560
Other
Washington
UNIFIED BUSINESS ID
1287SO
Other
BLUE CROSS
0150532
Other
Washington
LABOR AND INDUSTRIES ID#
174980063
Other
ADA NUMBER
91-2051287
Other
TAX ID #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
101 W Cascade Way, Suite 200 Spokane, Washington
Zip:
99208-6003
Phone Number:
509-467-5202
Fax Number:
509-468-0518
Patients can reach Dr. Scott Soderstrom at 101 W Cascade Way, Suite 200, Spokane, Washington or can call to book an appointment on 509-467-5202. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.