GARY THEODORE PEDERSON (D.D.S.) – Oral and Maxillofacial Surgery (Dentist), NPI 1447258223

GARY THEODORE PEDERSON (D.D.S.) is a healthcare provider. based in Salem, Oregon. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials D.D.S.. They hold a License No. D4658 (OR). The NPI Number for GARY THEODORE PEDERSON (D.D.S.) is 1447258223

Main info

Male
Sole Proprietor
Name
GARY THEODORE PEDERSON (D.D.S.)
NPI
1447258223
Phone
(503) 581-0223
Address
1565 LIBERTY ST SE
Enumeration Date
14 July 2005
Last Update Date
17 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GARY THEODORE PEDERSON (D.D.S.)

  • 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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Educational use only—not medical, billing, or legal advice.

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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Frequently asked questions

Can I verify GARY THEODORE PEDERSON (D.D.S.) with an NPI only?
You can start verification with NPI 1447258223 for GARY THEODORE PEDERSON (D.D.S.), then check state licensing separately.
Does CMS list GARY THEODORE PEDERSON (D.D.S.) as active?
Yes — GARY THEODORE PEDERSON (D.D.S.) is active in the NPI listing used on this page.
What healthcare role does GARY THEODORE PEDERSON (D.D.S.) hold?
Scheduling teams often label GARY THEODORE PEDERSON (D.D.S.) under Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What address line appears for GARY THEODORE PEDERSON (D.D.S.)?
GARY THEODORE PEDERSON (D.D.S.)'s geographic hint is Salem, Oregon in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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