Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shad B Mackert, DDS

Individual provider Prosthodontics · NPI 1144605403

Dr. Shad B Mackert, DDS is a Prosthodontics in Draper, Utah. Practices as a sole proprietor. Licensed in Michigan and Utah.

Licensed in
MI, UT
In the registry since
2015
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

12459 S 300 E Ste 202
Draper, UT 84020-1899
Phone: (385) 430-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 10220776-8903 (UT)
Prosthodontics Taxonomy 1223P0700X · Licence 2901021479 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901021479 (MI)

Record details

NPI number1144605403
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 28, 2015
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023