Individual provider · Type 1 NPI

Jack Carl Shader, DDS

General Practice Dentistry · Clarkston, MI

NPI number 1467535203 Active

Practice location

6300 Sashabaw Rd
Clarkston, MI 48346-2269

Call (248) 625-9444 Map

Fax (248) 625-4813

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901011126 (MI)

General Practice Dentistry: 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.

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About NPI 1467535203

Jack Carl Shader, DDS's National Provider Identifier is 1467535203, issued on Oct 23, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Clarkston, MI. The record was last updated on Jul 8, 2007.