npidexNPI registry + Medicare data

ANDREW SODERHOLM, DDS

Oral and Maxillofacial Surgery (Dentist) · ALEXANDRIA, MN

Individual Active Opted out of Medicare NPI 1336379528

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓D13189MN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2013-05-16 through 2027-05-16.

Other Oral and Maxillofacial Surgery (Dentist) providers in Minnesota

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.