JACK C SHADER DDS PC
Dentist - General Practice
Active
Organization
NPI: 1912000977
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 11126 (MI) |
Frequently Asked Questions
NPI 1912000977 is the National Provider Identifier for JACK C SHADER DDS PC, a Dentist - General Practice provider located in Clarkston, MI. This NPI was enumerated on September 6, 2006.
Quick Facts
- NPI
- 1912000977
- Type
- Organization
- Enumerated
- Sep 6, 2006
- Last Updated
- Aug 22, 2020
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