Provider Demographics
NPI:1659572055
Name:SHAPIRO, SHELDON DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:DAVID
Last Name:SHAPIRO
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 1:3408 N PRESTON DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73122-1121
Mailing Address - Country:US
Mailing Address - Phone:405-503-9085
Mailing Address - Fax:405-942-7009
Practice Address - Street 1:3408 N PRESTON DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73122-1121
Practice Address - Country:US
Practice Address - Phone:405-503-9085
Practice Address - Fax:405-942-7009
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOK4446122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist