Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jack C Shader DDS PC

Organization General Practice Dentistry · NPI 1912000977

Jack C Shader DDS PC provides 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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