Healthcare Provider Details

I. General information

NPI: 1932217692
Provider Name (Legal Business Name): DAVID E. SHAPIRO, DMD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 01/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 PRINCETON HIGHTSTOWN RD BUILDING 3B SUITE 2
WEST WINDSOR NJ
08550-1668
US

IV. Provider business mailing address

186 PRINCETON HIGHTSTOWN RD BUILDING 3B SUITE 2
WEST WINDSOR NJ
08550-1668
US

V. Phone/Fax

Practice location:
  • Phone: 609-269-5200
  • Fax:
Mailing address:
  • Phone: 609-269-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDI20075
License Number StateNJ

VIII. Authorized Official

Name: DR. DAVID EVAN SHAPIRO
Title or Position: PRESIDENT
Credential: DMD
Phone: 609-269-5200