MEDICARE: DAVID E. SHAPIRO, DMD, PC

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	DI20075	NJ

General Provider Information

NPI Number	:	1932217692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID E. SHAPIRO, DMD, PC

Provider Business Mailing Address
First Line	:	186 PRINCETON HIGHTSTOWN RD
Second Line	:	BUILDING 3B SUITE 2
City	:	WEST WINDSOR
State	:	NJ
Zip	:	08550-1668
Country	:	US
Telephone Number	:	609-269-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	186 PRINCETON HIGHTSTOWN RD
Second Line	:	BUILDING 3B SUITE 2
City	:	WEST WINDSOR
State	:	NJ
Zip	:	08550-1668
Country	:	US
Telephone Number	:	609-269-5200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID EVAN SHAPIRO
Credential	:	DMD
Telephone Number	:	609-269-5200

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	01/21/2009

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