Organization · Type 2 NPI
Gary T. Pederson
Oral and Maxillofacial Surgery (Dentist) · Salem, OR
NPI number
1154517415
Active
Practice location
1565 Liberty St SE
Salem, OR 97302-4345
Fax (503) 581-6794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D4658 (OR) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
- Mid-Valley Oral, Maxillofacial & Implant SurgeryOral and Maxillofacial Surgery Clinic/Center Salem, OR NPI 1386901734
- David C. Swiderski, DDS, MDOral & Maxillofacial Surgery (D.M.D.) Salem, OR NPI 1356320576
- Gary Theodore Pederson, DDSOral and Maxillofacial Surgery (Dentist) Salem, OR NPI 1447258223
Other oral and maxillofacial surgery (dentist) providers in Salem
- Willamette Valley Oral & Maxillofacial Surgey, Inc.Oral and Maxillofacial Surgery (Dentist) Salem, OR NPI 1144575267
- Or Oms Specialty Dental Services, LLCOral and Maxillofacial Surgery (Dentist) Salem, OR NPI 1548137706
- Or Oms Specialty Dental Services, LLCOral and Maxillofacial Surgery (Dentist) Salem, OR NPI 1568339711
- Jev A. Clark, Dmd, Md, LLCOral and Maxillofacial Surgery (Dentist) Salem, OR NPI 1831686468
- Hhhkc Dental LLCOral and Maxillofacial Surgery (Dentist) Salem, OR NPI 1891902896
About NPI 1154517415
Gary T. Pederson's National Provider Identifier is 1154517415, issued on Sep 20, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Salem, OR. The record was last updated on Sep 20, 2007.