Marc James Soelberg, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE61177908 Issued in WA

Practice address

1327 N Stanford LN
Liberty Lake, WA 99019-5034

Phone

(509) 891-7070

NPI assigned

Mar 18, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marc Soelberg DDS PLLC

  • Dental Clinic/Center
  • Post Falls, ID
  • NPI 1033896337
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1235698226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 W TUALATIN DR",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545185",
            "telephone_number": "208-740-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 N STANFORD LN",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195034",
            "telephone_number": "509-891-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOELBERG",
        "first_name": "MARC",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE61177908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanley Psychiatry
• Cameron Simonds
• Alex Sizov, LMT
• Diana Lynn Smith, PHYSICAL THERAPIST
• Kelsey Alexis Smith, RN, IBCLC
• Beau William Sparks, DC
• Emily Stark, LMHCA
• Steven O Thomas MD
• Patrick Michael Stewart, MA
• Paula Marie Stiles, P.T.

• Pediatric Dentistry in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.