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NPI 1366443574 · live from the CMS NPI Registry

Benjamin Jaret Aanderud, DMD

Dentist, General Practice in Sherwood, OR. National Provider Identifier 1366443574, active.

NPI record

NPI1366443574 Type 1 · individual
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location16160 Sw Langer Dr, Sherwood, OR 97140
Practice phone503-925-9595
EnumeratedAugust 10, 2005
Last updatedJuly 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice primary1223G0001XD7682 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.