Mid-Valley Oral, Maxillofacial & Implant Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

MID-VALLEY ORAL, MAXILLOFACIAL & IMPLANT SURGERY

Practice address

1565 Liberty St SE
Salem, OR 97302-4345

Phone

(503) 581-0223

NPI assigned

Apr 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David C. Swiderski, DDS, MDNPI 1356320576

Title

Owner

Phone

(503) 581-0223

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David C Swiderski, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Salem, OR
  • NPI 1356320576
  NPD (past) Authorized official
• Gary Theodore Pederson, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Salem, OR
  • NPI 1447258223
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1386901734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024345",
            "telephone_number": "503-581-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024345",
            "telephone_number": "503-581-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY ORAL, MAXILLOFACIAL & IMPLANT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "SWIDERSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-581-0223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Valley Counseling Center Inc
• Mid Valley Employees Benefit Trust
• Mid Valley Medical Home LLC
• Mid Valley SRTF LLC
• Mid-Valley Dental Associates, LLC
• Mid-Willamette Family and Individual Therapy Services LLC
• Mid-Willamette Valley Community Action Agency, Inc
• Midwife Lennon LLC
• Holly Leah Miguel, FNP
• Brett W Mikeska, M D

• Oral and Maxillofacial Surgery Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.