Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY THEODORE PEDERSON, D.D.S.
Active Sole ProprietorGARY THEODORE PEDERSON, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in SALEM, Oregon. NPI 1447258223 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SALEM, OR
Registration Details
- NPI Number
- 1447258223
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2005 (21.043394229335 yrs)
- Last Updated
- Jul 17, 2007
- License
-
D4658 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1565 LIBERTY ST SESALEM, OR, 973024345Browse OR providers · Browse ZIP 97302
- Phone
- 5035810223
- Fax
- 5035816794
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. MARTIN J. MEHR | D.D.S. | 1174520548 |
| DR. DAVID WESLEY HOWERTON | DMD | 1588665723 |
| DR. JAMES M. EYRE JR. | M.D., D.M.D. | 1609878172 |
| DR. DENNIS DOUGLAS JOHNSON | D.M.D. | 1124242813 |
| DR. JEV CLARK | — | 1558622936 |
| ERDA CARMEL PRADEL | D.M.D. | 1386041358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.