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JACK CARL SHADER DDS
NPI 1467535203
Dentist - General Practice in Clarkston, MI

Active since October 23, 2006
6300 SASHABAW RD, CLARKSTON, MI 48346(248) 625-9444(248) 625-4813 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jack Carl Shader Dds NPPES

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

JACK CARL SHADER DDS (NPI 1467535203) is an individual general practice provider in Clarkston, Michigan, licensed in Michigan (2901011126) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1467535203
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACK CARL SHADERCredential: DDS
Location Address6300 SASHABAW RDClarkston, MI 48346-2269
Mailing Address6300 Sashabaw RdClarkston, MI 48346 · (248) 625-9444 · Fax (248) 625-4813
Phone(248) 625-9444
Fax(248) 625-4813
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467535203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901011126
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.

6300 SASHABAW RD, Clarkston, MI 48346
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Other Providers at the Same Location NPPES 4

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

DR. PETER WILLIAM KEELIN PH.D.
Psychologist
6300 SASHABAW RD, SUITE D
CLARKSTON, MI 48346
Oakland County (248) 625-7320
PETER W. KEELIN, PH.D., F.L.P., L.L.C.
Psychologist
6300 SASHABAW RD, SUITE D
CLARKSTON, MI 48346
Oakland County (248) 625-7320
MEAGAN RIESENBERGER LMSW, OSW-C
Social Worker (Clinical)
6300 SASHABAW RD
CLARKSTON, MI 48346
Oakland County (517) 202-2427
CHRISTINE MASE BABICH MA
Psychologist (Clinical Child & Adolescent)
6300 SASHABAW RD, SUITE D
CLARKSTON, MI 48346
Oakland County (248) 620-7947

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 Jack Shader's NPI number?

The NPI number for Jack Shader is 1467535203. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Jack Shader located?

Jack Shader practices at 6300 Sashabaw Rd, Clarkston, MI 48346. The listed phone number is (248) 625-9444.

What is Jack Shader'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 Jack Shader was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.