Shad B. Mackert, D.D.S.
Prosthodontics · Draper, UT
Practice location
12459 S 300 E Ste 202Draper, UT 84020-1899
- Phone
- (385) 430-1200
NPI record
- NPI
- 1144605403
- Entity type
- Individual (Type 1)
- Enumeration date
- July 28, 2015
- Last updated
- September 19, 2023
- Certified
- September 19, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthodontics Primary | 1223P0700X |
10220776-8903 | UT |
| Prosthodontics | 1223P0700X |
2901021479 | MI |
| General Practice Dentistry | 1223G0001X |
2901021479 | MI |
About Dr. Mackert
Shad B. Mackert, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 12459 S 300 E Ste 202, Draper, UT 84020-1899. The NPI number 1144605403 was assigned on July 28, 2015 and the record was last updated on September 19, 2023.
Dr. Mackert lists 3 licenses in the registry: #10220776-8903 (UT) for Prosthodontics; #2901021479 (MI) for Prosthodontics; #2901021479 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Shad B. Mackert, D.D.S.?
The NPI number is 1144605403.
What is the phone number of Dr. Mackert?
The phone number listed for the practice location is (385) 430-1200.
Where is Dr. Mackert located?
12459 S 300 E Ste 202, Draper, UT 84020-1899.
What is the taxonomy code for Dr. Mackert?
The primary taxonomy code is 1223P0700X – Prosthodontics; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.