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NPI Code Detail

MEDICARE: DR. DMITRY SHAPIRO DMD

MEDICARE: DR. DMITRY SHAPIRO DMD
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
11223G0001XGeneral Practice Dentistry54130NY

General Provider Information

NPI Number : 1841441508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DMITRY SHAPIRO DMD
Provider Business Mailing Address
First Line : 6 WILLOW PL
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-1906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1763 ROCKAWAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5037
Country : US
Telephone Number : 718-763-9118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2008
Last Update Date : 10/28/2020

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