GLEN S GERDES DMD PC NPI 1295951929

NPI Information

  • NPI: 1295951929
  • Provider Name: GLEN S GERDES DMD PC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Doing Business As: CORVALLIS ENDODONTICS
  • Address: 1811 NW KINGS BLVD
    CORVALLIS, OR
    ZIP 97330
  • Phone: (541) 758-0888

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NPI Details

GLEN S GERDES DMD PC is an endodontics dentist in Corvallis, OR. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. GLEN S GERDES DMD PC NPI is 1295951929. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Corvallis Endodontics.

The provider's business location address is:

1811 NW KINGS BLVD
CORVALLIS, OR
ZIP 97330-907
Phone: (541) 758-0888
Fax: (541) 754-6628

The provider's authorized official is Glen S Gerdes .
The authorized official title is Owner and has the following contact phone number (541) 758-0888.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 6/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsD6324OREGONYes

What is NPI?

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This page was last updated on: 11/21/2025

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