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CORVALLIS ENDODONTICS
NPI 1295951929
Dentist - Endodontics in Corvallis, OR

Active since April 18, 2007
1811 NW KINGS BLVD, CORVALLIS, OR 97330(541) 758-0888(541) 754-6628 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corvallis Endodontics NPPES

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

CORVALLIS ENDODONTICS (NPI 1295951929) is a healthcare organization registered as an endodontics in Corvallis, Oregon and active in the NPI registry since April 2007. The organization lists Glen S Gerdes, Owner, as its authorized official.

NPPES Registry Identity

NPI1295951929
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameGLEN S GERDES DMD PC
Location Address1811 NW KINGS BLVDCorvallis, OR 97330-1907
Mailing Address1811 Nw Kings BlvdCorvallis, OR 97330-1907 · (541) 758-0888 · Fax (541) 754-6628
Phone(541) 758-0888
Fax(541) 754-6628
Organization SubpartNo
Authorized OfficialGlen S GerdesOwner · (541) 758-0888
Enumeration DateApril 18, 2007
Last NPPES UpdateJune 12, 2008
✔ NPI 1295951929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in OR · D6324
Definition
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.
1811 NW KINGS BLVD, Corvallis, OR 97330
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Other Names 1

Doing Business AsCorvallis Endodontics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. GLEN S GERDES DMD
Dentist (Endodontics)
1811 NW KINGS BLVD
CORVALLIS, OR 97330
Benton County (541) 758-0888

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 Glen S Gerdes Dmd PC's NPI number?

The NPI number for Glen S Gerdes Dmd PC is 1295951929. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Corvallis Endodontics.

Where is Glen S Gerdes Dmd PC located?

Glen S Gerdes Dmd PC is located at 1811 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 758-0888.

What is Glen S Gerdes Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Glen S Gerdes Dmd PC was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.