Organization
JOHN M. SHADER DMD, PC
Active
Other names
John M. Shader, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA CLARE SHADER (OFFICE MANAGER/ OWNER)
(541) 451-1176
Entity
Organization
Contact information
Practice address
100 E OAK ST, LEBANON, OR 97355-4135
(541) 451-1176
(541) 451-1424
Mailing address
100 E OAK ST, LEBANON, OR 97355-4135
(541) 451-1176
(541) 451-1424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6442
OR
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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