Dr Peter Thomas Soderstrom, DDS, MS - Dentist in Modesto, CA

Dr Peter Thomas Soderstrom, DDS, MS is a Dentist - Prosthodontics based in Modesto, California. Dr Peter Thomas Soderstrom is licensed to practice in California (license number 36835) and his current practice location is 1605 Timothy Ave Ste A, Modesto, California. He can be reached at his office (for appointments etc.) via phone at (209) 544-0404.

NPI number for Dr Peter Thomas Soderstrom is 1104944537 and his current mailing address is 1605 Timothy Ave Ste A, Modesto, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104944537.

Contact Information

Dr Peter Thomas Soderstrom, DDS, MS
1605 Timothy Ave Ste A,
Modesto, CA 95350-4419
(209) 544-0404
(209) 544-1008



Healthcare Provider's Profile

Full NameDr Peter Thomas Soderstrom
GenderMale
SpecialityDentist - Prosthodontics
Location1605 Timothy Ave Ste A, Modesto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104944537
  • Provider Enumeration Date: 03/26/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Peter Thomas Soderstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104944537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics 36835 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Thomas Soderstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Peter Thomas Soderstrom, DDS, MS
1605 Timothy Ave Ste A,
Modesto, CA 95350-4419

Ph: (209) 544-0404
Dr Peter Thomas Soderstrom, DDS, MS
1605 Timothy Ave Ste A,
Modesto, CA 95350-4419

Ph: (209) 544-0404

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Dentist in Modesto, CA

Bhavini Harish Shelat, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Coffee Rd, Building B, Modesto, CA 95355
Phone: 209-727-4296    
Dr. Martha L Gomez, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Coffee Rd, Suite 9a, Modesto, CA 95355
Phone: 209-522-8783    Fax: 209-526-1470
Saliem Melles Tsighe, D.M.D
Dentist
Medicare: Medicare Enrolled
Practice Location: 2200 Mchenry Ave Ste B, Modesto, CA 95350
Phone: 209-526-9132    
Dr. John R Jeppson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1429 College Ave, Suite G, Modesto, CA 95350
Phone: 209-526-0344    Fax: 209-526-0370
Dr. Samuel Ernest Bleakley, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Mchenry Village Way Ste 1, Modesto, CA 95350
Phone: 209-577-1313    Fax: 209-577-8584
Efraim Sanson Florendo, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Coffee Rd, Modesto, CA 95055
Phone: 209-521-0100    
Lynn Zwahlen, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 201 E Orangeburg Ave Ste C, Modesto, CA 95350
Phone: 209-522-5761    Fax: 209-522-1051

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