Doctor profile · Federal record
Dr. Peter Soderstrom, DDS, MS
Prosthodontist · Modesto, CA
- NPI 1104944537
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1605 Timothy Ave Ste A
Modesto, CA 953504419
(209) 544-0404
fax (209) 544-1008
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223P0700X — NUCC code
- State license (1)
- California #36835
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104944537. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$127
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 3 | $127.39 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
34
Patients
16
Total drug cost
$169
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 18 | 16 | $90 |
| Chlorhexidine Gluconate | Generic | 16 | 0 | $79 |
Frequently asked questions
What is Dr. Peter Soderstrom's medical specialty?
Dr. Peter Soderstrom practices Prosthodontist in Modesto, CA.
Where does Dr. Peter Soderstrom practice?
Dr. Peter Soderstrom practices at 1605 Timothy Ave Ste A, Modesto, CA 953504419. Office phone: 2095440404.
What is Dr. Peter Soderstrom's NPI?
Dr. Peter Soderstrom's National Provider Identifier (NPI) is 1104944537, issued by NPPES.