OrganizationActive
Shane Davidson DDS PC
NPI 1033651427 · Dentist · Waterford, MI
Shane Davidson DDS PC is a Dentist organization in Waterford, MI (NPI 1033651427).
Provider details
- NPI number
- 1033651427
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Shane Davidson DDS PC
- Organization subpart
- Yes
- Authorized official
- Shane Davidson, Owner(248) 977-3006
- License
- 2901020222 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5574 Cooley Lake Rd
Waterford, MI 48327-3015
Phone: (248) 977-3006
Street-level locationGet directions
Mailing address
5574 Cooley Lake Rd
Waterford, MI 48327-3015
Registry dates
- Enumerated
- 2016-11-16
- Last updated
- 2016-11-16
Frequently asked questions
- What is Shane Davidson DDS PC's NPI number?
- Shane Davidson DDS PC's National Provider Identifier (NPI) is 1033651427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shane Davidson DDS PC?
- Shane Davidson DDS PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Shane Davidson DDS PC located?
- Shane Davidson DDS PC's practice location on file with NPPES is 5574 Cooley Lake Rd, Waterford, MI 48327-3015.
- What is Shane Davidson DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Shane Davidson DDS PC is (248) 977-3006.
- Who is the authorized official for Shane Davidson DDS PC?
- The authorized official listed on Shane Davidson DDS PC's NPPES record is Shane Davidson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shane Davidson DDS PC's NPI active?
- Yes — Shane Davidson DDS PC's NPI (1033651427) is active in the NPPES registry as of the last update on 2016-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.