Individual provider · Type 1 NPI
Andrew J. Soderholm, DDS
Oral and Maxillofacial Surgery (Dentist) · Alexandria, MN
NPI number
1336379528
Active
Practice location
120 12th Avenue East
Alexandria, MN 56308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D13189 (MN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1336379528
Andrew J. Soderholm, DDS's National Provider Identifier is 1336379528, issued on Jul 22, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Alexandria, MN. The record was last updated on Oct 24, 2022.