person
Gary Theodore Pederson, DDS
Oral and Maxillofacial Surgery (Dentist) in Salem, Oregon
NPI 1447258223

Gary Theodore Pederson is a Oral and Maxillofacial Surgery (Dentist) based in Salem, OR and is specialized in Oral and Maxillofacial Surgery. Gary Theodore Pederson practices in Salem, OR and has the professional credentials of DDS. The NPI Number for Gary Theodore Pederson is 1447258223 and holds a License No. D4658 (Oregon).

The current practice location address for Gary Theodore Pederson is 1565 Liberty St Se, Salem, OR and can be reached out via phone at 503-581-0223 and via fax at 503-581-6794.

Location: 1565 Liberty St Se, Salem, OR, 97302-4345
person
Provider Profile Details
NPI Number
1447258223
Provider Name
Gary Theodore Pederson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1565 Liberty St Se, Salem, OR, 97302-4345
Phone Number
503-581-0223
Fax Number
503-581-6794
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1565 Liberty St Se
City
State
Zip
97302-4345
Phone Number
503-581-0223
Fax Number
503-581-6794
person
Provider Business Mailing Address Details
Address
1565 Liberty St Se
City
State
Zip
97302-4345
Phone Number
503-581-0223
Fax Number
503-581-6794
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D4658 (Oregon)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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