Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144605403 Individual Practitioner Male Practitioner

Dr. Shad B Mackert , DDS

Dentist - Prosthodontics • Draper, UT

Professional Overview & Biography Verified Profile Summary

Dr. Shad Mackert, DDS is a registered healthcare professional specializing in Dentist - Prosthodontics in Draper, UT. Practice services are available at 12459 S 300 E STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12459 S 300 E Ste 202

Draper, UT 840201899

Telephone 3854301200

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Draper, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Draper, UT (17 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-19
Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License UT 10220776-8903

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Dentist - Prosthodontics

NUCC Taxonomy Code: 1223P0700X

State License MI 2901021479

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MI 2901021479

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location September 19, 2023

Registered at 12459 S 300 E STE 202, DRAPER, UT 840201899 (Tel: 3854301200)

📍
Updated Business Mailing Address September 19, 2023

Registered at 12459 S 300 E STE 202, DRAPER, UT 840201899 (Tel: 8543012003)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2023

Dentist (License #10220776-8903 in UT)

📍
Updated Practice Location March 26, 2019

Registered at 8200 E BELLEVIEW AVE STE 500, GREENWOOD VILLAGE, CO 801112808 (Tel: 8012534776)

📍
Updated Business Mailing Address March 26, 2019

Registered at 8200 E BELLEVIEW AVE STE 500, GREENWOOD VILLAGE, CO 801112808 (Tel: 3039883824)

NPI Profile Active April 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2017

Registered at 10706 S RIVER FRONT PKWY, SOUTH JORDAN, UT 840953519 (Tel: 8012534776)

📍
Updated Business Mailing Address April 04, 2017

Registered at 10706 S RIVER FRONT PKWY, SOUTH JORDAN, UT 840953519 (Tel: 8012534776)

👤
Provider Name / Credentials Updated April 04, 2017

Recorded as SHAD MACKERT, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2017

Dentist (License #2901021479 in MI)

NPI Profile Active July 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2015

Registered at 100 W MAIN ST, STOCKBRIDGE, MI 492859483 (Tel: 5178518008)

📍
Updated Business Mailing Address July 28, 2015

Registered at 100 W MAIN ST, STOCKBRIDGE, MI 492859483 (Tel: 5178518008)

👤
Provider Name / Credentials Updated July 28, 2015

Recorded as SHAD MACKERT, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2015

Dentist (License #2901021479 in MI)

🟢
Initial NPI Registration & Enumeration July 28, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144605403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2015
Last Update: September 19, 2023
Sole Proprietor: Yes

Mailing Address

12459 S 300 E Ste 202

Draper, UT 840201899

Phone: 8543012003

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.