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JACK SHADER & MARK DENNIS DDS PC
NPI 1710613062
Clinic/Center - Dental in Davisburg, MI

Active since July 28, 2022
16104 DIXIE HWY, DAVISBURG, MI 48350(248) 328-8888(248) 634-0440 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jack Shader & Mark Dennis Dds Pc NPPES

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

JACK SHADER & MARK DENNIS DDS PC (NPI 1710613062) is a healthcare organization registered as a dental in Davisburg, Michigan and active in the NPI registry since July 2022. The organization lists Mark Alan Dennis, Owner, as its authorized official.

NPPES Registry Identity

NPI1710613062
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJACK SHADER & MARK DENNIS DDS PC
Location Address16104 DIXIE HWYDavisburg, MI 48350-1004
Mailing Address16104 Dixie HwyDavisburg, MI 48350-1004 · (248) 328-8888 · Fax (248) 634-0440
Phone(248) 328-8888
Fax(248) 634-0440
Organization SubpartNo
Authorized OfficialMark Alan DennisOwner · (248) 328-8888
Enumeration DateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1710613062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
16104 DIXIE HWY, Davisburg, MI 48350
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Other Providers at the Same Location NPPES

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

MARK ALLEN DENNIS DDS
Dentist (General Practice)
16104 DIXIE HWY
DAVISBURG, MI 48350
Oakland County (248) 328-8888

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 & Mark Dennis Dds PC's NPI number?

The NPI number for Jack Shader & Mark Dennis Dds PC is 1710613062. It was assigned to this organization in the NPPES registry on July 28, 2022.

Where is Jack Shader & Mark Dennis Dds PC located?

Jack Shader & Mark Dennis Dds PC is located at 16104 Dixie Hwy, Davisburg, MI 48350. The listed phone number is (248) 328-8888.

What is Jack Shader & Mark Dennis Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jack Shader & Mark Dennis Dds PC was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.