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