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

Dr. Peter Thomas Soderstrom, DDS, MS

Individual provider Prosthodontics · NPI 1104944537

Dr. Peter Thomas Soderstrom, DDS, MS is a Prosthodontics in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1605 Timothy Ave Ste A
Modesto, CA 95350-4419
Phone: (209) 544-0404
Fax: (209) 544-1008
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Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 36835 (CA)

Record details

NPI number1104944537
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1605 Timothy Ave Ste A, Modesto, CA 95350-4419

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