Individual
GARY RAYMOND UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
120 S RIVER ST, ENTERPRISE, OR 97828-1336
(541) 426-3783
(541) 426-0205
Mailing address
120 S RIVER ST, ENTERPRISE, OR 97828-1336
(541) 426-3783
(541) 426-0205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4905
OR
Other
Enumeration date
08/16/2005
Last updated
07/13/2026
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