Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GERALD ELLIS ANDERSON D.M.D.
NPI 1619975281
Dentist in Keizer, OR

Active since July 08, 2005
3975 RIVER RD N, SUITE #5, KEIZER, OR 97303(503) 393-9106(503) 393-3053 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gerald Ellis Anderson D.m.d. NPPES

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

DR. GERALD ELLIS ANDERSON D.M.D. (NPI 1619975281) is an individual dentist in Keizer, Oregon, licensed in Oregon (D4704) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1619975281
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GERALD ELLIS ANDERSONCredential: D.M.D.
Location Address3975 RIVER RD N, SUITE #5Keizer, OR 97303-4811
Mailing Address3975 River Rd N, Suite #5Keizer, OR 97303-4811 · (503) 393-9106 · Fax (503) 393-3053
Fax(503) 393-3053
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1619975281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D4704
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3975 RIVER RD N, Keizer, OR 97303

Other Identifiers 3

OtherD4704OR · Oregon Dental License #
Other0250011-8OR · Oregon Business Id #
Medicaid00454-9OR

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 Gerald Anderson's NPI number?

The NPI number for Gerald Anderson is 1619975281. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Gerald Anderson located?

Gerald Anderson practices at 3975 River Rd N Suite #5, Keizer, OR 97303. The listed phone number is (503) 393-9106.

What is Gerald Anderson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Gerald Anderson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.