GARY T. PEDERSON – Oral and Maxillofacial Surgery (Dentist), NPI 1154517415

GARY T. PEDERSON is a healthcare provider. based in Salem, Oregon. specializing in Oral and Maxillofacial Surgery (Dentist). The organization holds a License No. D4658 (OR). The NPI Number for GARY T. PEDERSON is 1154517415

Main info

Organization
Name
GARY T. PEDERSON
NPI
1154517415
Phone
(503) 581-0223
Address
1565 LIBERTY ST SE
Authorized Official
DR. GARY T PEDERSON ORAL SURGEON DDS
Enumeration Date
20 September 2007
Last Update Date
20 September 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for GARY T. PEDERSON

  • 1565, Liberty Street Southeast, Salem, Marion County, Oregon, 97302, United States

    SALEM, OR 973024345

    Phone: (503) 581-0223

    Fax: (503) 581-6794

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97302)

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Reviews

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Frequently asked questions

What is GARY T. PEDERSON's NPI number?
GARY T. PEDERSON's NPI is 1154517415 — the number used across U.S. healthcare to identify this provider.
Is GARY T. PEDERSON still an active registrant?
GARY T. PEDERSON carries an active NPI according to the public dataset.
What expertise is attributed to GARY T. PEDERSON?
GARY T. PEDERSON's specialty line reads Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Where in Oregon is GARY T. PEDERSON registered?
Use Salem, Oregon as the headline location for GARY T. PEDERSON here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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