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PEDIATRIC DENTISTRY OF SALEM LLC
NPI 1184831083
Dentist - Pediatric Dentistry in Salem, OR

Active since May 17, 2007
2020 COMMERCIAL ST SE, SALEM, OR 97302(503) 364-7545(503) 540-7911 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dentistry Of Salem Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTISTRY OF SALEM LLC (NPI 1184831083) is a healthcare organization registered as a pediatric dentistry in Salem, Oregon and active in the NPI registry since May 2007. The organization lists Weston Willard Heringer, Partner, as its authorized official.

NPPES Registry Identity

NPI1184831083
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF SALEM LLC
Location Address2020 COMMERCIAL ST SESalem, OR 97302-5208
Mailing Address2020 Commercial St SeSalem, OR 97302-5208 · (503) 364-7545 · Fax (503) 540-7911
Phone(503) 364-7545
Fax(503) 540-7911
Organization SubpartNo
Authorized OfficialWeston Willard HeringerPartner · (503) 364-7545
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184831083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in OR · 7703✔ Licensed in OR · 4631
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2020 COMMERCIAL ST SE, Salem, OR 97302
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Other Identifiers 3

Other1223PO221XOR · Taxonomy Code
Medicaid233143OR
Medicaid087163OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTON WILLARD HERINGER JR. DMD
Dentist (Pediatric Dentistry)
2020 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (503) 364-7545
DR. WESTON W HERINGER III D.M.D.
Dentist (Pediatric Dentistry)
2020 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (503) 364-7545
PEDIATRIC DENTAL ASSOCIATES OF SALEM
Dentist (Pediatric Dentistry)
2020 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (503) 364-7545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dentistry Of Salem LLC's NPI number?

The NPI number for Pediatric Dentistry Of Salem LLC is 1184831083. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Pediatric Dentistry Of Salem LLC located?

Pediatric Dentistry Of Salem LLC is located at 2020 Commercial St SE, Salem, OR 97302. The listed phone number is (503) 364-7545.

What is Pediatric Dentistry Of Salem LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Salem LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.