NPI 1922170208 · live from the CMS NPI Registry
Earl Edmondson Gilder, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Salem, OR. National Provider Identifier 1922170208, active.
NPI record
| NPI | 1922170208 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3940 Lancaster Dr Ne, Salem, OR 97305 |
| Practice phone | 503-540-9041 |
| Mailing address | 6950 Ne Campus Way, Hillsboro, OR 97124 |
| Enumerated | November 14, 2006 |
| Last updated | June 2, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 8002 (OR) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 31046 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.