NPI 1003982950

Steven Michael Peck, DMD

Practitioner Dentist Salem, OR

Practice location

Address: 2411 Grear St NE, Salem, OR 97301
Phone: (503) 362-6456

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D7321 (OR)

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Registry record

NPI: 1003982950
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.