Provider Demographics
NPI:1326155276
Name:SHAPIRO, CRAIG ADAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ADAM
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8190 JOG ROAD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-2914
Mailing Address - Country:US
Mailing Address - Phone:561-742-8006
Mailing Address - Fax:561-742-9030
Practice Address - Street 1:8190 JOG ROAD
Practice Address - Street 2:SUITE 230
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-2914
Practice Address - Country:US
Practice Address - Phone:561-742-8006
Practice Address - Fax:561-742-9030
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN150681223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics