# ROGER C. DOW, DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942551791
- **Authorized official:** DR. ROGER C DOW D.M.D. (DENTIST/OWNER)
- **Authorized official phone:** (503) 363-1712

## Contact information

- **Practice address:** 140 RAMSGATE SQ SE, SUITE 110, SALEM, OR 97302
- **Practice address phone:** (503) 363-1712
- **Practice address fax:** (503) 363-4346
- **Mailing address:** 140 RAMSGATE SQ SE, SUITE 110, SALEM, OR 97302
- **Mailing address phone:** (503) 363-1712
- **Mailing address fax:** (503) 363-4346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | D6497 | OR | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 09/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 112784 | — | OR |