IndividualActive
Gary Pederson, D.D.S.
NPI 1447258223 · Oral and Maxillofacial Surgery (Dentist) · Salem, OR
Provider details
- NPI number
- 1447258223
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D4658 (OR)
Specialties & taxonomies
Dental Providers
Practice location
1565 Liberty St Se
Salem, OR 97302-4345
Phone: (503) 581-0223
Fax: (503) 581-6794
Approximate (ZIP-level) locationGet directions
Mailing address
1565 Liberty St Se
Salem, OR 97302-4345
Registry dates
- Enumerated
- 2005-07-14
- Last updated
- 2007-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.