OrganizationActive
Jack C Shader DDS PC
NPI 1912000977 · General Practice Dentistry · Clarkston, MI
Jack C Shader DDS PC is a General Practice Dentistry organization in Clarkston, MI (NPI 1912000977).
Provider details
- NPI number
- 1912000977
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jack Shader, President(248) 625-9444
- License
- 11126 (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
Ste a
Clarkston, MI 48436
Phone: (248) 625-9444
Fax: (248) 625-4813
Street-level locationGet directions
Mailing address
6300 Sashabaw Rd
Clarkston, MI 48436
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jack C Shader DDS PC's NPI number?
- Jack C Shader DDS PC's National Provider Identifier (NPI) is 1912000977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack C Shader DDS PC?
- Jack C Shader DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jack C Shader DDS PC located?
- Jack C Shader DDS PC's practice location on file with NPPES is 6300 Sashabaw Rd, Clarkston, MI 48436.
- What is Jack C Shader DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Jack C Shader DDS PC is (248) 625-9444.
- Who is the authorized official for Jack C Shader DDS PC?
- The authorized official listed on Jack C Shader DDS PC's NPPES record is Jack Shader, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack C Shader DDS PC's NPI active?
- Yes — Jack C Shader DDS PC's NPI (1912000977) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.