| Organization Name: | GARY DEHM, DMD |
| NPI Number: | 1548434608 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY EDWARD DEHM (DENTIST/OWNER) |
| Mailing Address: | 48 Ne 11th St Madras |
| State: | OR US |
| Postal Code: | 977411865 |
| Phone Number: | 8884680022 |
| Fax Number: | 5415164071 |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 02/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | D8737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |