James Walter Soderstrom, D.D.S.

General Practice Dentistry · Aurora, IL

Individual Active NPI Reactivated October 23, 2019

NPI number 1487727491

Practice location

2121 W Galena Blvd
Aurora, IL 60506-3274
Phone
(630) 897-7839

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NPI record

NPI
1487727491
Entity type
Individual (Type 1)
Enumeration date
November 16, 2006
Last updated
October 23, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.014408 IL

About Dr. Soderstrom

James Walter Soderstrom, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2121 W Galena Blvd, Aurora, IL 60506-3274. The NPI number 1487727491 was assigned on November 16, 2006 and the record was last updated on October 23, 2019.

Dr. Soderstrom lists a license in the registry: #019.014408 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James Walter Soderstrom, D.D.S.?

The NPI number is 1487727491.

What is the phone number of Dr. Soderstrom?

The phone number listed for the practice location is (630) 897-7839.

Where is Dr. Soderstrom located?

2121 W Galena Blvd, Aurora, IL 60506-3274.

What is the taxonomy code for Dr. Soderstrom?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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