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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GRADY D SHAVER, DMD

Active

MR. GRADY D SHAVER, DMD is a Dentist healthcare provider located in PENDLETON, Oregon. NPI 1093049306 is currently active in the NPPES registry. Verify at CMS.

Dentist · PENDLETON, OR

Registration Details

NPI Number
1093049306
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2009 (16.929548205021 yrs)
Last Updated
Mar 9, 2016
Licenses
DE60114016 (WA)
D9825 (OR)

Practice Information

Address
73265 CONFEDERATED WAY
PENDLETON, OR, 978010160
Browse OR providers · Browse ZIP 97801
Phone
5419669830
Fax
5412787590
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in PENDLETON, OR

Name Credential NPI
SHELIA HELENE COE 1003929605
TODD J OYAMA DMD 1306078241
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.