Grady D. Shaver, DMD

Dentist · Pendleton, OR

Individual Active NPI

NPI number 1093049306

Practice location

73265 Confederated Way
Pendleton, OR 97801-0160
Phone
(541) 966-9830
Fax
(541) 278-7590

Open in Google Maps

NPI record

NPI
1093049306
Entity type
Individual (Type 1)
Enumeration date
September 21, 2009
Last updated
March 9, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D9825 OR
Dentist 122300000X DE60114016 WA

Mailing address

PO Box 160
Pendleton, OR 97801-0160
Phone
(541) 966-9830
Fax
(541) 278-7590

About Dr. Shaver

Grady D. Shaver, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 73265 Confederated Way, Pendleton, OR 97801-0160. The NPI number 1093049306 was assigned on September 21, 2009 and the record was last updated on March 9, 2016.

Dr. Shaver lists 2 licenses in the registry: #D9825 (OR) for Dentist; #DE60114016 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grady D. Shaver, DMD?

The NPI number is 1093049306.

What is the phone number of Dr. Shaver?

The phone number listed for the practice location is (541) 966-9830.

Where is Dr. Shaver located?

73265 Confederated Way, Pendleton, OR 97801-0160.

What is the taxonomy code for Dr. Shaver?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Pendleton

All Dentist providers in Pendleton, OR →