| Gary T. Pederson | |
|
1565 Liberty St Se Salem OR 97302-4345 | |
| (503) 581-0223 | |
| (503) 581-6794 |
| Full Name | Gary T. Pederson |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1565 Liberty St Se, Salem, Oregon |
| Authorized Official Name and Position | Gary T Pederson (ORAL SURGEON) |
| Authorized Official Contact | 5035810223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary T. Pederson 1565 Liberty St Se Salem OR 97302-4345 Ph: (503) 581-0223 | Gary T. Pederson 1565 Liberty St Se Salem OR 97302-4345 Ph: (503) 581-0223 |
| NPI Number | 1154517415 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154517415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D4658 (Oregon) | Primary |
Clover Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Mission St Se Ste 150, Salem, OR 97302 Phone: 541-990-0363 | |
Oregon Smile Care Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 Madrona Ave Se, Suite #150, Salem, OR 97302 Phone: 503-391-2848 Fax: 503-391-0402 | |
Capitol Dental Care, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Market St Ne, Suite 228, Salem, OR 97301 Phone: 503-585-5205 Fax: 503-581-0043 | |
Lakeview Dental Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 25th St Se, Suite 430, Salem, OR 97302 Phone: 503-370-8778 | |
Salem Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 12th St Se, Salem, OR 97302 Phone: 503-378-1212 | |
Pringle Creek Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 12th St Se, Salem, OR 97301 Phone: 503-364-7944 | |
Acorn Dentistry For Kids - West Salem, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1049 Edgewater St Nw, Salem, OR 97304 Phone: 503-874-4560 Fax: 503-874-4562 |