Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Grady D Shaver, DMD

Individual provider Dentist · NPI 1093049306

Mr. Grady D Shaver, DMD is a Dentist in Pendleton, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2009.

Licensed in
OR, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

73265 Confederated Way
Pendleton, OR 97801-0160
Phone: (541) 966-9830
Fax: (541) 278-7590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D9825 (OR)
Dentist Taxonomy 122300000X · Licence DE60114016 (WA)

Record details

NPI number1093049306
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 21, 2009
Last updated in NPPESMarch 9, 2016

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