Provider Demographics
NPI:1518300888
Name:SHAPIRO, DEBORA GOLDSCHMIEDT (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:GOLDSCHMIEDT
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DEBORA
Other - Middle Name:
Other - Last Name:GOLDSCHMIEDT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3721 N 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2204
Mailing Address - Country:US
Mailing Address - Phone:972-896-1646
Mailing Address - Fax:
Practice Address - Street 1:3301 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-7796
Practice Address - Country:US
Practice Address - Phone:954-262-1789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN225051223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics