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

Shane Davidson DDS PC

Organization Dentist · NPI 1033651427

Shane Davidson DDS PC is a Dentist 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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