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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK C SHADER DDS PC

Active Organization

JACK C SHADER DDS PC is a General Dentistry organization located in CLARKSTON, Michigan. NPI 1912000977 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CLARKSTON, MI

Registration Details

NPI Number
1912000977
Provider Type
Organization
NPI Issued
Sep 6, 2006 (19.942168427746 yrs)
Last Updated
Aug 22, 2020
License
11126 (MI)

Practice Information

Address
6300 SASHABAW RD
STE A
CLARKSTON, MI, 48436
Browse MI providers · Browse ZIP 48436
Phone
2486259444
Fax
2486254813
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in CLARKSTON, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.