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

Dr. Shad B Mackert, DDS

Individual provider Prosthodontics · NPI 1144605403

Dr. Shad B Mackert, DDS is a Prosthodontics in Draper, Utah. Practices as a sole proprietor. Licensed in Michigan and Utah.

Licensed in
MI, UT
In the registry since
2015
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

12459 S 300 E Ste 202
Draper, UT 84020-1899
Phone: (385) 430-1200
Show map & directions

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

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 10220776-8903 (UT)
Prosthodontics Taxonomy 1223P0700X · Licence 2901021479 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901021479 (MI)

Record details

NPI number1144605403
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 28, 2015
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023
Mailing address12459 S 300 E Ste 202, Draper, UT 84020-1899