Individual provider · Type 1 NPI

Gary Theodore Pederson, DDS

Oral and Maxillofacial Surgery (Dentist) · Salem, OR

NPI number 1447258223 Active

Practice location

1565 Liberty St SE
Salem, OR 97302-4345

Call (503) 581-0223 Map

Fax (503) 581-6794

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD4658 (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

Other oral and maxillofacial surgery (dentist) providers in Salem

See all in Salem →

About NPI 1447258223

Gary Theodore Pederson, DDS's National Provider Identifier is 1447258223, issued on Jul 14, 2005. 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 Jul 17, 2007.