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JOHN M. SHADER DMD, PC
NPI 1356578421
Dentist - General Practice in Lebanon, OR

Active since June 16, 2009
100 E OAK ST, LEBANON, OR 97355(541) 451-1176(541) 451-1424 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John M. Shader Dmd, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN M. SHADER DMD, PC (NPI 1356578421), doing business as John M. Shader, Dmd, is a healthcare organization registered as a general practice in Lebanon, Oregon and active in the NPI registry since June 2009. The organization lists Patricia Clare Shader, Office Manager/ Owner, as its authorized official.

NPPES Registry Identity

NPI1356578421
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN M. SHADER DMD, PC
Location Address100 E OAK STLebanon, OR 97355-4135
Mailing Address100 E Oak StLebanon, OR 97355-4135 · (541) 451-1176 · Fax (541) 451-1424
Phone(541) 451-1176
Fax(541) 451-1424
Organization SubpartNo
Authorized OfficialPatricia Clare ShaderOffice Manager/ Owner · (541) 451-1176
Enumeration DateJune 16, 2009
✔ NPI 1356578421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D6442
Definition
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.
100 E OAK ST, Lebanon, OR 97355
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Other Names 1

Former Legal Business NameJohn M. Shader, Dmd

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEOFFREY W BLATTER DMD
Dentist
100 E OAK ST
LEBANON, OR 97355
Linn County (541) 451-1176
GEOFFREY W BLATTER, DMD, PC
Clinic/Center (Dental)
100 E OAK ST
LEBANON, OR 97355
Linn County (541) 451-1176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John M. Shader Dmd, PC's NPI number?

The NPI number for John M. Shader Dmd, PC is 1356578421. It was assigned to this organization in the NPPES registry on June 16, 2009. The provider was formerly known as John M. Shader, Dmd.

Where is John M. Shader Dmd, PC located?

John M. Shader Dmd, PC is located at 100 E Oak St, Lebanon, OR 97355. The listed phone number is (541) 451-1176.

What is John M. Shader Dmd, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John M. Shader Dmd, PC was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.