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

Jack Carl Shader, DDS

Individual provider General Practice Dentistry · NPI 1467535203

Jack Carl Shader, DDS is a General Practice Dentistry in Clarkston, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
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.

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Practice location Address checks out

6300 Sashabaw Rd
Clarkston, MI 48346-2269
Phone: (248) 625-9444
Fax: (248) 625-4813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901011126 (MI)

Record details

NPI number1467535203
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 23, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6300 Sashabaw Rd, Clarkston, MI 48346

Other providers in Clarkston