Gary Theodore Pederson, D.D.S.
Oral and Maxillofacial Surgery (Dentist) · Salem, OR
Gary Theodore Pederson, D.D.S. is an oral and maxillofacial surgery (dentist) with a practice address in Salem, Oregon, and NPI 1447258223, issued on Jul 14, 2005. Check the license (Oregon D4658, as entered in NPPES) with the Oregon board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Gary Theodore Pederson
- Credential
- D.D.S.
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License number
- D4658 OR
Self-reported in NPPES; status is on the state search - Practice location
- 1565 Liberty St SE, Salem, OR 97302
- Phone
- (503) 581-0223
- Enumerated
- Jul 14, 2005
- Record last updated
- Jul 17, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (503) 581-6794
- Entity
- Type 1 · individual
8 nearest oral and maxillofacial surgery (dentist) records → All 97 in Oregon → Look up another NPI →
Also registered at 1565 Liberty St SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- David Swiderski, DDS, MDOral & Maxillofacial Surgery (D.M.D.)1356320576
Verify Gary Theodore Pederson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license D4658Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Gary Theodore Pederson among 97 oral and maxillofacial surgery (dentist) records in Oregon
Gary Theodore Pederson, D.D.S. is one of 97 oral and maxillofacial surgery (dentist) records with a practice address in Oregon. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileNo · 76% of these records are
- In the CMS Doctors and Clinicians fileNo · 5% of these records are
- Record last updated2007 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223S0112X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Oral and Maxillofacial Surgery (Dentist) providers in Oregon
There are 97 oral and maxillofacial surgery (dentist) records in Oregon. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 97 in Oregon → Every provider in Salem → Oral and Maxillofacial Surgery (Dentist) nationwide →
The 8 oral and maxillofacial surgery (dentist) records with the nearest ZIP codes
- Jev ClarkSalem, OR 973021558622936
- David Howerton, DMDSalem, OR 973021588665723
- Demetri Howerton, DMD, MDSalem, OR 973021851831747
- Martin Mehr, D.D.S.Salem, OR 973021174520548
- James Eyre, M.D., D.M.D.Salem, OR 973011609878172
- Dennis Johnson, D.M.D.Salem, OR 973011124242813
- Jin ParkSalem, OR 973011801246715
- Erda Pradel, D.M.D.Salem, OR 973051386041358
Common questions
What is Gary Theodore Pederson, D.D.S.'s NPI number?
Gary Theodore Pederson, D.D.S.'s National Provider Identifier (NPI) is 1447258223, issued on Jul 14, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Gary Theodore Pederson, D.D.S. located?
The NPPES record lists a practice address at 1565 Liberty St SE, Salem, OR, 97302. Phone: (503) 581-0223. Providers update this record themselves, so call before visiting.
How can I verify Gary Theodore Pederson, D.D.S.'s license?
NPPES lists Oregon license number D4658, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.