Provider Demographics
NPI:1407969579
Name:SCHAPIRA, DAN J (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:J
Last Name:SCHAPIRA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 N CEDAR LAKE DR W
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-3112
Mailing Address - Country:US
Mailing Address - Phone:573-442-7108
Mailing Address - Fax:573-449-1269
Practice Address - Street 1:411 N COLLEGE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-4915
Practice Address - Country:US
Practice Address - Phone:573-443-5195
Practice Address - Fax:573-449-1269
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO012563122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist