Jack C Shader DDS PC

Jack C Shader DDS PC is a healthcare organization registered as General Practice Dentistry in Clarkston, MI, holding Type 2 (organization) NPI 1912000977 since 2006. The authorized official on file is Jack Shader, President.

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NPI	1912000977
Entity type	Organization (Type 2)
Legal business name	Jack C Shader DDS PC
Practice address	6300 SASHABAW RD, STE A, Clarkston, MI, 48436
Phone	2486259444
Fax	2486254813
Enumeration date	2006-09-06
Last updated in NPPES	2020-08-22

Authorized official

Name	Jack Shader
Title	President
Phone	2486259444

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	11126	MI

Copy-ready billing details

Provider: Jack C Shader DDS PC
NPI: 1912000977
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 6300 SASHABAW RD, STE A, Clarkston, MI, 48436

Verify this record

Cross-check NPI 1912000977 against the authoritative CMS record: view Jack C Shader DDS PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Jack C Shader DDS PC located?

The practice location on file with NPPES is in Clarkston, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.