Shane Davidson Dds Pc is a Dental Clinic in Waterford, Michigan. This organization is also known as sub part of Shane Davidson Dds Pc. It is located at 5574 Cooley Lake Rd, Waterford, MI and its contact number is 248-977-3006. The authorized person for Shane Davidson Dds Pc is Shane Davidson
who is Owner of the clinic and their contact number is 248-977-3006. The primary license number for Shane Davidson Dds Pc is 2901020222 (Dentist) in Michigan.
Shane Davidson Dds Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Shane Davidson Dds Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Shane Davidson Dds Pc |
| Specialization: | Dentistry |
| Clinic Address: | 5574 Cooley Lake Rd, Waterford,
Michigan, 48327-3015 |
| Phone: | 248-977-3006 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Shane Davidson |
| Position: | Owner |
| Contact Number: | 248-977-3006 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shane Davidson Dds Pc clinic are as mentioned below.
| NPI Number: | 1033651427 |
| Parent Organization: | Shane Davidson Dds Pc |
| NPI Enumeration Date: | 16 Nov, 2016 |
| NPI Last Update On: | 16 Nov, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane Davidson Dds Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 2901020222 | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2901020222 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shane Davidson Dds Pc
5574 Cooley Lake Rd,
Waterford, Michigan |
| Zip: | 48327-3015 |
| Phone Number: | 248-977-3006 |
Patients can reach Shane Davidson Dds Pc at
5574 Cooley Lake Rd, Waterford, Michigan or can
call to book an appointment on 248-977-3006.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.