Gary Theodore Pederson
D.D.S. | Oral and Maxillofacial Surgeon
1565 Liberty St Se, Salem
Oregon, 97302-4345
503-581-0223 503-581-6794
Maps & DirectionsGary Theodore Pederson is a Salem, Oregon based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Gary Theodore Pederson is
D4658 for Oral and Maxillofacial Surgery in Oregon. His current practice location is
1565 Liberty St Se, Salem. Patients can reach him at
503-581-0223.
Gary Theodore Pederson deals with 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.
Complete Profile:
Gary Theodore Pederson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Gary Theodore Pederson |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1565 Liberty St Se, Salem,
Oregon, 97302-4345 |
| Phone: | 503-581-0223 |
| Fax: | 503-581-6794 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1447258223 |
| NPI Enumeration Date: | 14 Jul, 2005 |
| NPI Last Update On: | 17 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary Theodore Pederson are as mentioned below.
| License Number | Specialization | State | Status | |
| D4658 | Oral and Maxillofacial Surgery | Oregon | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1565 Liberty St Se,
Salem, Oregon |
| Zip: | 97302-4345 |
| Phone Number: | 503-581-0223 |
| Fax Number: | 503-581-6794 |
Patients can reach Gary Theodore Pederson at
1565 Liberty St Se, Salem, Oregon or can
call to book an appointment on 503-581-0223.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.