JOHN M. SHADER DMD PC NPI 1356578421

NPI Information

  • NPI: 1356578421
  • Provider Name: JOHN M. SHADER DMD, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Former Legal Business Name: JOHN M. SHADER, DMD
  • Address: 100 E OAK ST
    LEBANON, OR
    ZIP 97355
  • Phone: (541) 451-1176

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NPI Details

JOHN M. SHADER DMD, PC is a general practice dentist in Lebanon, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JOHN M. SHADER DMD, PC NPI is 1356578421. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is John M. Shader, Dmd.

The provider's business location address is:

100 E OAK ST
LEBANON, OR
ZIP 97355-135
Phone: (541) 451-1176
Fax: (541) 451-1424

The provider's authorized official is Patricia Clare Shader .
The authorized official title is Office Manager/ Owner and has the following contact phone number (541) 451-1176.

The enumeration date for this NPI number is 6/16/2009 and was last updated on 6/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD6442OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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