OrganizationActive
Gary T. Pederson
NPI 1154517415 · Oral and Maxillofacial Surgery (Dentist) · Salem, OR
Gary T. Pederson is a Oral and Maxillofacial Surgery (Dentist) organization in Salem, OR (NPI 1154517415).
Provider details
- NPI number
- 1154517415
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Gary Pederson, Oral Surgeon(503) 581-0223
- License
- D4658 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1565 Liberty St Se
Salem, OR 97302-4345
Phone: (503) 581-0223
Fax: (503) 581-6794
Street-level locationGet directions
Mailing address
1565 Liberty St Se
Salem, OR 97302-4345
Registry dates
- Enumerated
- 2007-09-20
- Last updated
- 2007-09-20
Frequently asked questions
- What is Gary T. Pederson's NPI number?
- Gary T. Pederson's National Provider Identifier (NPI) is 1154517415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gary T. Pederson?
- Gary T. Pederson is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Gary T. Pederson located?
- Gary T. Pederson's practice location on file with NPPES is 1565 Liberty St Se, Salem, OR 97302-4345.
- What is Gary T. Pederson's phone number?
- The practice phone number listed in the NPPES registry for Gary T. Pederson is (503) 581-0223.
- Who is the authorized official for Gary T. Pederson?
- The authorized official listed on Gary T. Pederson's NPPES record is Gary Pederson, Oral Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gary T. Pederson's NPI active?
- Yes — Gary T. Pederson's NPI (1154517415) is active in the NPPES registry as of the last update on 2007-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.