Mr Grady D Shaver, DMD | |
73265 Confederated Way, Pendleton, OR 97801-0160 | |
(541) 966-9830 | |
(541) 278-7590 |
Full Name | Mr Grady D Shaver |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 73265 Confederated Way, Pendleton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093049306 | NPI | - | NPPES |
500653068 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE60114016 (Washington) | Secondary |
122300000X | Dentist | D9825 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Grady D Shaver, DMD Po Box 160, Pendleton, OR 97801-0160 Ph: (541) 966-9830 | Mr Grady D Shaver, DMD 73265 Confederated Way, Pendleton, OR 97801-0160 Ph: (541) 966-9830 |
Shelia Helene Coe, Dentist Medicare: Not Enrolled in Medicare Practice Location: 73265 Confederated Way, Pendleton, OR 97801 Phone: 541-278-7517 | |
Dr. Don R Harsch, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Dorion Ave Ste 2, Pendleton, OR 97801 Phone: 541-276-4257 Fax: 541-276-3563 | |
Dr. Arthur Scott Herman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 311 Se Dorion Ave, Pendleton, OR 97801 Phone: 541-278-0800 Fax: 541-278-7933 | |
Dr. Ronald Graham Mcentire, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate Ste 3, Pendleton, OR 97801 Phone: 541-276-5272 Fax: 541-276-7212 | |
Durk Irwin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 Sw Dorion Ave, Pendleton, OR 97801 Phone: 541-276-7819 | |
Dr. Nels Robert Nelson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2801 Sw Nye Ave, Pendleton, OR 97801 Phone: 541-276-7051 Fax: 541-276-1020 |