Gary Dehm, D.M.D.
Individual provider Active NPI General Practice Dentistry · Madras, OR
NPI 1437367695 · NPPES record last updated May 13, 2013
Key facts
- NPI
- 1437367695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D8737 (OR)
- Practice address
- 48 NE 11TH St
Madras, OR 97741-1865 - Phone
- (888) 468-0022
- Fax
- (541) 516-4071
- NPI assigned
- May 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0026136 | TX | MD | Dentist |
| D8737 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Dehm, DMD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8737 | OR | Yes |
| Dentist | 122300000X | 0026136 | TX |
Addresses
Primary practice location
48 NE 11TH St
Madras, OR 97741-1865
Mailing address
2777 NE Red Oak Dr
Bend, OR 97701-8348
Phone (541) 550-9630
Other providers in Madras, OR
- Chandler Cruise
- Cambria Curran
- Curtis L. Dix, OD, PC
- Laurie Fay Dawkins
- Michael Arthur De la Mater
- Kristine Marie Delamarter
- Ziana Dhalla
- Juan Carlos Diaz Olivera
- Curtis L Dix
- Sue Lillian Dixon
All providers in Madras, 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 May 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.