Gary T. Pederson
Gary T. Pederson is an Oral and Maxillofacial Surgery (Dentist) in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2007.
- Licensed in
- OR
- In the registry since
- 2007
Practice location Address checks out
1565 Liberty St SESalem, OR 97302-4345
Phone: (503) 581-0223
Fax: (503) 581-6794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence D4658 (OR) |
|---|
Record details
| NPI number | 1154517415 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Pederson — Oral Surgeon · (503) 581-0223 |
| NPI enumerated | September 20, 2007 |
| Last updated in NPPES | September 20, 2007 |
| Mailing address | 1565 Liberty St Se, Salem, OR 97302-4345 |
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