Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soderstrom Implant Dentistry, PC

Organization General Practice Dentistry · NPI 1083837199

Soderstrom Implant Dentistry, PC is a General Practice Dentistry in Rapid City, South Dakota. Licensed in South Dakota. Registered with an NPI since 2007.

Licensed in
SD
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

907 Jackson Blvd
Rapid City, SD 57702-2541
Phone: (605) 388-0930
Fax: (605) 388-0929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence M537 (SD)

Record details

NPI number1083837199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Soderstrom — President · (605) 388-0930
NPI enumeratedApril 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address907 Jackson Blvd, Rapid City, SD 57702-2541

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