IndividualActive
Jack Shader, DDS
NPI 1467535203 · General Practice Dentistry · Clarkston, MI
Jack Shader, DDS is a General Practice Dentistry provider in Clarkston, MI (NPI 1467535203).
Provider details
- NPI number
- 1467535203
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901011126 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6300 Sashabaw Rd
Clarkston, MI 48346-2269
Phone: (248) 625-9444
Fax: (248) 625-4813
Street-level locationGet directions
Mailing address
6300 Sashabaw Rd
Clarkston, MI 48346
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Shader's NPI number?
- Jack Shader's National Provider Identifier (NPI) is 1467535203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Shader's specialty?
- Jack Shader is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jack Shader located?
- Jack Shader's practice location on file with NPPES is 6300 Sashabaw Rd, Clarkston, MI 48346-2269.
- What is Jack Shader's phone number?
- The practice phone number listed in the NPPES registry for Jack Shader is (248) 625-9444.
- Is Jack Shader's NPI active?
- Yes — Jack Shader's NPI (1467535203) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.