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Gary Pederson, D.D.S

NPI 1447258223 · on the registry since 2005 · sole proprietor

Practice

Address: 1565 Liberty St Se
Salem, OR 97302
Phone: (503) 581-0223
Fax: (503) 581-6794
Organisation at this address: Gary T. Pederson
Mid-Valley Oral, Maxillofacial & Implant Surgery
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon