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

Shane Davidson DDS PC

Organization Dentist · NPI 1033651427

Shane Davidson DDS PC provides Dentist services in Waterford, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5574 Cooley Lake Rd
Waterford, MI 48327-3015
Phone: (248) 977-3006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901020222 (MI)

Record details

NPI number1033651427
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShane Davidson DDS PC
Authorized official Shane Davidson — Owner · (248) 977-3006
NPI enumeratedNovember 16, 2016
Last updated in NPPESNovember 16, 2016
Mailing address5574 Cooley Lake Rd, Waterford, MI 48327-3015

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