Benjamin Jaret Aanderud, DMD
Individual provider Active NPI General Practice Dentistry · Sherwood, OR
NPI 1366443574 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1366443574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D7682 (OR)
- Practice address
- 16160 SW Langer Dr
Sherwood, OR 97140-8795 - Phone
- (503) 925-9595
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160201002618 | OR | Order and Referring Only - Dentist |
2668776337 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7682 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Family Dental LLC | General Practice | Past | Accepting new patients |
| Progress Dental LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7682 | OR | Yes |
Addresses
Primary practice location
16160 SW Langer Dr
Sherwood, OR 97140-8795
Mailing address
16160 SW Langer Dr
Sherwood, OR 97140-8795
Phone (503) 925-9595
Other providers in Sherwood, OR
- 1918 Winter Street Operating Co LLC
- A&a House LLC
- Aaaa Mobility, Inc.
- Wendy Renee Abraham
- Jodie Mae Adams
- Adaptability for Life LLC
- Salwan Wesam Adjaj
- Advanced Accident Care Chiropractic LLC
All providers in Sherwood, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.