MEDICARE: DR. LAURENCE FREDRIC 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	1223G0001X	General Practice Dentistry	031612	NY

General Provider Information

NPI Number	:	1548432909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURENCE FREDRIC SHAPIRO D.D.S

Provider Business Mailing Address
First Line	:	7469 CARMELA WAY
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-5669
Country	:	US
Telephone Number	:	561-499-3415
Fax Number	:

Provider Business Practice Location Address
First Line	:	7469 CARMELA WAY
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-5669
Country	:	US
Telephone Number	:	561-499-3415
Fax Number	:

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

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	03/26/2008

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