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DR. MARY ANN YOO DDS
NPI 1629134630
Dentist in Salem, OR

Active since December 28, 2006PECOS Enrolled
3490 LANCASTER DR NE, SALEM, OR 97305(503) 540-9041(503) 540-9056 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Ann Yoo Dds NPPES

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

DR. MARY ANN YOO DDS (NPI 1629134630) is an individual dentist in Salem, Oregon, licensed in Oregon (D8124) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629134630
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARY ANN YOOCredential: DDS
Location Address3490 LANCASTER DR NESalem, OR 97305
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (503) 952-2164 · Fax (503) 526-4418
Phone(503) 540-9041
Fax(503) 540-9056
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateMay 6, 2015
✔ NPI 1629134630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D8124
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.
3490 LANCASTER DR NE, Salem, OR 97305
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Other Identifiers 1

Other182836OR · Dmap

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Ann Yoo Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

DR. JEFFERSON B GOURLEY DDS
Dentist (Endodontics)
3490 LANCASTER DR NE
SALEM, OR 97305
Marion County (855) 433-6825
ERDA CARMEL PRADEL D.M.D.
Dentist (Oral and Maxillofacial Surgery)
3490 LANCASTER DR NE
SALEM, OR 97305
Marion County (855) 433-6825
TANYA LYNN ARTHUR RDH
Dental Hygienist
3490 LANCASTER DR NE
SALEM, OR 97305
Marion County (503) 540-9041
GUINEVERE NOELLE TADINA RDH
Dental Hygienist
3490 LANCASTER DR NE
SALEM, OR 97305
Marion County (855) 433-6825
AIMEE RENEE AXTELL RDH
Dental Hygienist
3490 LANCASTER DR NE
SALEM, OR 97305
Marion County (503) 540-9041
MR. RONALD DAVID JAY WRIGHT RDH
Dental Hygienist
3490 LANCASTER DR NE
SALEM, OR 97305
Marion County (800) 461-8994
DR. YING WAN DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
3490 LANCASTER DR NE
SALEM, OR 97305
Marion County (855) 433-6825
RACHEL LEE MEANS DMD
Dentist
3490 LANCASTER DR NE
SALEM, OR 97305
Marion County (855) 433-6825

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 Mary Yoo's NPI number?

The NPI number for Mary Yoo is 1629134630. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Mary Yoo located?

Mary Yoo practices at 3490 Lancaster Dr NE, Salem, OR 97305. The listed phone number is (503) 540-9041.

What is Mary Yoo's specialty?

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

Is Mary Yoo enrolled in Medicare?

Yes. Mary Yoo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Yoo was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.