Provider Demographics
NPI:1558831990
Name:SHAPIRO FAMILY DENTISTRY OF BOYNTON BEACH PA
Entity Type:Organization
Organization Name:SHAPIRO FAMILY DENTISTRY OF BOYNTON BEACH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-254-2868
Mailing Address - Street 1:2247 PALM BEACH LAKES BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3408
Mailing Address - Country:US
Mailing Address - Phone:561-254-2868
Mailing Address - Fax:561-998-0901
Practice Address - Street 1:9868 S STATE ROAD 7 STE 200
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4473
Practice Address - Country:US
Practice Address - Phone:561-254-2868
Practice Address - Fax:561-998-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial SurgeryGroup - Multi-Specialty