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

JEDIDIAH R GASS SR., DDS, MSD, PC

Deactivated Sole Proprietor

JEDIDIAH R GASS SR., DDS, MSD, PC is a Orthodontics healthcare provider located in EUGENE, Oregon. NPI 1811993819 is deactivated in the NPPES registry. Verify at CMS.

Orthodontics · EUGENE, OR

This NPI has been deactivated. The record was deactivated on March 16, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1811993819
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2005 (0.72876712328767 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 16, 2006
License
D7866 (OR)
Sole Proprietor
Yes

Practice Information

Address
992 COUNTRY CLUB RD
STE 102
EUGENE, OR, 974016023
Browse OR providers · Browse ZIP 97401
Phone
5416871161
Fax
5413449188
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in EUGENE, OR

Name Credential NPI
W. GRAY GRIEVE D.D.S. 1386641447
DAVID ANDERSON BENNION DMD MS 1679550602
DR. DAVID GEORGE NILES DDS MS 1316051543
BRAD ALAN CHVATAL DMD MS 1629185889
DR. ADAM MARTIN DDS, MS 1184780280
DR. BENJAMIN R THORNTON DDS, MS, PC 1710197728
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.