Glen S. Gerdes, DMD

Endodontics · Corvallis, OR

Individual Active NPI

NPI number 1245241702

Practice location

1811 NW Kings Blvd
Corvallis, OR 97330
Phone
(541) 758-0888
Fax
(541) 754-6628

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NPI record

NPI
1245241702
Entity type
Individual (Type 1)
Enumeration date
August 10, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X D6324 OR

About Dr. Gerdes

Glen S. Gerdes, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 1811 NW Kings Blvd, Corvallis, OR 97330. The NPI number 1245241702 was assigned on August 10, 2006 and the record was last updated on July 8, 2007.

Dr. Gerdes lists a license in the registry: #D6324 (OR) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Glen S. Gerdes, DMD?

The NPI number is 1245241702.

What is the phone number of Dr. Gerdes?

The phone number listed for the practice location is (541) 758-0888.

Where is Dr. Gerdes located?

1811 NW Kings Blvd, Corvallis, OR 97330.

What is the taxonomy code for Dr. Gerdes?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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