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

GARY T. PEDERSON

Active Organization

GARY T. PEDERSON is a Oral & Maxillofacial Surgery organization located in SALEM, Oregon. NPI 1154517415 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · SALEM, OR

Registration Details

NPI Number
1154517415
Provider Type
Organization
NPI Issued
Sep 20, 2007 (18.93630677893 yrs)
Last Updated
Sep 20, 2007
License
D4658 (OR)

Practice Information

Address
1565 LIBERTY ST SE
SALEM, OR, 973024345
Browse OR providers · Browse ZIP 97302
Phone
5035810223
Fax
5035816794
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Organizations in SALEM, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.