Individual provider · Type 1 NPI

Kenneth Robert Greenbaum, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Salem, OR

NPI number 1902889900 Active

Practice location

2450 Lancaster Dr NE, Suite 200
Salem, OR 97305-1130

Call (503) 362-9548 Map

Fax (503) 362-2189

Mailing address

34 Northview Ct
Lake Oswego, OR 97035-1072

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	4701 (OR)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1902889900

Kenneth Robert Greenbaum, DDS, MS's National Provider Identifier is 1902889900, issued on Nov 22, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Salem, OR. The record was last updated on Jul 13, 2026.