DR. Shad B Mackert, D.D.S.

NPI #1144605403 in Draper, Utah

Provider Information

NPI Number: 1144605403
Entity Type: Individual
Name: DR. Shad B Mackert, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Prosthodontics
Credential: D.D.S.
Enumeration Date: Jul 28, 2015
Last Updated: Sep 19, 2023

Practice Location

Address: 12459 S 300 E STE 202
City: Draper
State: Utah
ZIP Code: 84020-1899
Phone: (385) 430-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary
Dentist - General Practice — General Practice	1223G0001X

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