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SCOTT SODERSTROM D D S P C
NPI 1316460421
Clinic/Center - Dental in Spokane, WA

Active since July 20, 2017
101 W CASCADE WAY STE 200, SPOKANE, WA 99208(509) 467-5202(509) 466-0518 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Jul 21, 2022, Sep 17, 2019 and 2 more (5 updates tracked since 2017).

About Scott Soderstrom D D S P C NPPES

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

SCOTT SODERSTROM D D S P C (NPI 1316460421) is a healthcare organization registered as a dental in Spokane, Washington and active in the NPI registry since July 2017. The organization lists Tracy Johnson, Patient Accounts And Billing, as its authorized official.

NPPES Registry Identity

NPI1316460421
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSCOTT SODERSTROM D D S P C
Location Address101 W CASCADE WAY STE 200Spokane, WA 99208-6000
Mailing Address101 W Cascade Way Ste 200Spokane, WA 99208-6000 · (509) 467-5202 · Fax (509) 466-0518
Phone(509) 467-5202
Fax(509) 466-0518
Organization SubpartNo
Authorized OfficialTracy JohnsonPatient Accounts And Billing · (509) 467-5202
Enumeration DateJuly 20, 2017
Last NPPES UpdateMarch 6, 20235 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1316460421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
101 W CASCADE WAY STE 200, Spokane, WA 99208
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Other Identifiers 1

Medicaid5034749WA

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 Scott Soderstrom D D S P C's NPI number?

The NPI number for Scott Soderstrom D D S P C is 1316460421. It was assigned to this organization in the NPPES registry on July 20, 2017.

Where is Scott Soderstrom D D S P C located?

Scott Soderstrom D D S P C is located at 101 W Cascade Way Ste 200, Spokane, WA 99208. The listed phone number is (509) 467-5202.

What is Scott Soderstrom D D S P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Scott Soderstrom D D S P C was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.