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

Jack C Shader DDS PC

Organization General Practice Dentistry · NPI 1912000977

Jack C Shader DDS PC is a General Practice Dentistry in Clarkston, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6300 Sashabaw Rd Ste A
Clarkston, MI 48436
Phone: (248) 625-9444
Fax: (248) 625-4813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11126 (MI)

Record details

NPI number1912000977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Shader — President · (248) 625-9444
NPI enumeratedSeptember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6300 Sashabaw Rd, Ste A, Clarkston, MI 48436

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