MEDICARE: DR. ANDREA S SHAPIRO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30-022098	OH

General Provider Information

NPI Number	:	1194801803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA S SHAPIRO D.D.S.

Provider Business Mailing Address
First Line	:	12500 REED HARTMAN HWY STE 110
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-1951
Country	:	US
Telephone Number	:	513-489-7800
Fax Number	:	513-489-7801

Provider Business Practice Location Address
First Line	:	12500 REED HARTMAN HWY
Second Line	:	SUITE 110
City	:	CINCINNATI
State	:	OH
Zip	:	45241-1892
Country	:	US
Telephone Number	:	513-489-7800
Fax Number	:	513-489-7801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	01/15/2026

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