DR. PETER THOMAS SODERSTROM DDS, MS
NPI 1104944537
Dentist - Prosthodontics in Modesto, CA

Q: What is Peter Soderstrom's NPI number?

The NPI number for Peter Soderstrom is 1104944537. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Peter Soderstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Peter Soderstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2007

1605 TIMOTHY AVE STE A, MODESTO, CA 95350(209) 544-0404(209) 544-1008 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Peter Thomas Soderstrom Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER THOMAS SODERSTROM DDS, MS (NPI 1104944537) is an individual prosthodontics provider in Modesto, California, licensed in California (36835) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104944537

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. PETER THOMAS SODERSTROMCredential: DDS, MS

Location Address1605 TIMOTHY AVE STE AModesto, CA 95350-4419

Mailing Address1605 Timothy Ave Ste AModesto, CA 95350-4419 · (209) 544-0404 · Fax (209) 544-1008

Phone(209) 544-0404

Fax(209) 544-1008

Sole ProprietorYes

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104944537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in CA · 36835

Definition

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.

1605 TIMOTHY AVE STE A, Modesto, CA 95350

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Soderstrom's NPI number?

The NPI number for Peter Soderstrom is 1104944537. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Peter Soderstrom located?

Peter Soderstrom practices at 1605 Timothy Ave Ste A, Modesto, CA 95350. The listed phone number is (209) 544-0404.

What is Peter Soderstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Peter Soderstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.