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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAMES WALTER SODERSTROM, D.D.S.

Deactivated Sole Proprietor

DR. JAMES WALTER SODERSTROM, D.D.S. is a General Dentistry healthcare provider located in AURORA, Illinois. NPI 1487727491 is deactivated in the NPPES registry. Verify at CMS.

General Dentistry · AURORA, IL

This NPI has been deactivated. The record was deactivated on October 2, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1487727491
Provider Type
Individual
Gender
Male
NPI Issued
Nov 16, 2006 (12.876712328767 yrs)
Last Updated
Oct 23, 2019
Deactivated
Oct 2, 2019
License
019.014408 (IL)
Sole Proprietor
Yes

Practice Information

Address
2121 W GALENA BLVD
AURORA, IL, 605063274
Browse IL providers · Browse ZIP 60506
Phone
6308977839
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in AURORA, IL

Name Credential NPI
DR. THOMAS J GUZZARDI D.D.S. 1518960020
DR. SAMEERA HUSSAIN D.D.S. 1912996810
DR. SUREKHA SAKALA DDS 1205825817
PROF. SHWETA KAMAL DDS 1457340002
DR. KHAJA MOHSINUDDIN DDS 1093775132
DR. RICHARD MARTIN BERTOGLIO DDS 1417985839
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.