Maxwell Carl Sodorff, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61089688 Issued in WA

Practice address

1215 SW Scotton Way Ste 121
Battle Ground, WA 98604-2700

Phone

(360) 687-4721

NPI assigned

Aug 13, 2020

Last updated

Aug 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1821609793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19215 184TH PL NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980778260",
            "telephone_number": "206-948-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SW SCOTTON WAY STE 121",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042700",
            "telephone_number": "360-687-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODORFF",
        "first_name": "MAXWELL",
        "middle_name": "CARL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61089688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Smith-Bloxsom
• Christine Smith
• Gary A Smith, MD
• Taylor David Smith, DNP, FNP-C
• Joseph Snogren, LDO, ABO, NCLE
• Sole Sisters Physical Therapy, LLC (Battle Ground Physical Therapy)
• Laurie Jo Solomon, L.AC., M.S.A.O.M.
• Munleen K Soni, L.AC
• Lorinda Joan Sorensen, NATUROPATHIC DOCTOR
• Jennifer Sosky, LMP

• Dentist in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.